Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olamide Fasanya, MD

Individual provider Internal Medicine Physician · NPI 1902544836

Olamide Fasanya, MD is an Internal Medicine in Omaha, Nebraska. Qualified in 2018, 8 years ago. Practices with San Pedro Hospitalist Medical Group Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California and Nebraska.

Years since qualifying
8
Licensed in
CA, NE
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8303 Dodge St
Omaha, NE 68114-4108
Phone: (402) 354-2360
Fax: (402) 354-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 37341 (NE)
Internal Medicine Physician Taxonomy 207R00000X · Licence A199496 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1902544836
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 20, 2022
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice San Pedro Hospitalist Medical Group Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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