NPI age
20 years
Enumerated 2005-07-20
● Active
Type 1 · Individual
Agboola O Fatiregun, M.D.
Fatiregun is 1 of 57 pediatrics providers in Irving and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
3501 N MacArthur Blvd Ste 450
Irving, TX 750623651
Mailing address
3501 N MacArthur Blvd Ste 500
Irving, TX 750623675
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 189208501 | |
| 01 (TX) | 8W4546 | BLUE CROSS |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.