Omotayo Olusola Fasan, MBBS
NPI 1386804409ActiveIndividual· Internal Medicine, Hematology· Charlotte, NC
Internal Medicine, Hematology (MBBS) in Charlotte, North Carolina, licensed in NC and PA, with an NPI issued in June 2008.
Overview
| NPI | 1386804409 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MBBS |
| Sole proprietor | No |
| NPI issued | Jun 12, 2008 |
| Last updated in NPPES | Nov 18, 2020 |
| Certified by provider | Nov 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology Primary | 207RH0000X | 2013-01292 | NC |
| Internal Medicine | 207R00000X | 2013-01292 | NC |
| Internal Medicine | 207R00000X | MD433151 | PA |
| Internal Medicine | 207R00000X | MT183411 | PA |
| Internal Medicine, Hematology | 207RH0000X | MD433151 | PA |
| Internal Medicine, Hematology | 207RH0000X | MT183411 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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