Omotayo Fawibe, MD
Omotayo Fawibe, MD is an Occupational Medicine Physician in Fort Wayne, IN, registered under NPI 1851634554.
Getting there
The practice address on file is 3978 NEW VISION DR, Fort Wayne, IN 46845. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 01076903A | IN | Occupational Medicine Physician primary |
| S5894 | TX | Occupational Medicine Physician |
Licences are recorded in 2 states: IN, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Preventive Medicine
- PAC ID
- 0345507950
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Indiana | I20171206000631 | Practitioner - Preventive Medicine |
| Texas | I20220629003374 | Practitioner - Family Practice |
Medicare enrolment is recorded as approved under the provider type Practitioner - Preventive Medicine. There are 2 separate enrolment records across 2 states (IN, TX). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Indiana and Texas. The practice address on file is in Fort Wayne, IN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 01076903A
- Specialty
- Occupational Medicine Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Occupational Medicine covers
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. NUCC Health Care Provider Taxonomy, code 2083X0100X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2083X0100X | Occupational Medicine Physician Occupational Medicine | 01076903A | IN | primary |
| 2083X0100X | Occupational Medicine Physician Occupational Medicine | S5894 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1851634554 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 1, 2013 |
| Last updated | Jul 24, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
3978 NEW VISION DR Fort Wayne, IN 46845 (260) 672-4680 Fax (260) 458-5836 |
| Mailing address |
11109 PARKVIEW PLAZA DR # 117 Fort Wayne, IN 46845 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 5 | 1 | 6 | 3 | 4 | 5 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 1 | 1 | 3 | 3 | 8 | 5 | 1 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.