IBUKUNOLUWA O. KUSIMO DO – NPI #1356792790
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

IBUKUNOLUWA KUSIMO is a physician located in HUNTSVILLE, AL. NPPES has assigned the NPI number 1356792790 to IBUKUNOLUWA KUSIMO on June 27, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name IBUKUNOLUWA OLUWAPELUMI PICKENS. According to the NPI Registry, there are 9 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Dec 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IBUKUNOLUWA KUSIMO below.

NPI Profile for
IBUKUNOLUWA O. KUSIMO

NPI Number
1356792790
Enumeration Date

(about 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
IBUKUNOLUWA O. KUSIMO
Former Name: IBUKUNOLUWA OLUWAPELUMI PICKENS
Credentials
DO
Primary location
333 WHITESPORT DR SW STE 304
HUNTSVILLE, AL 35801-3455
Phone: (256) 469-0350 Fax: (256) 291-3611
9 Other location(s):
10300 Bailey Cove Rd SE Ste 13
Huntsville, AL 35803-2635
Phone: (256) 880-6138
Fax: (256) 881-4619
2139 Winchester Rd NE Ste C
Huntsville, AL 35811-9804
Phone: (256) 489-9015
Fax: (256) 489-9087
301 Governors Dr SW
Huntsville, AL 35801-5123
Phone: (256) 551-4500
700 Airport Rd SW Ste D
Huntsville, AL 35802-4360
Phone: (256) 429-4915
Fax: (256) 429-4507
7244 Bailey Cove Rd SE Ste B
Huntsville, AL 35802-2868
Phone: (256) 261-3340
Fax: (256) 261-3337
7900 Bailey Cove Rd SE # 7
Huntsville, AL 35802-3324
Phone: (256) 880-6138
Fax: (256) 881-4619
1650 Slaughter Rd Ste A
Madison, AL 35758-8610
Phone: (256) 325-3646
Fax: (256) 325-3647
11365 Highway 231 431 N Ste F
Meridianville, AL 35759-2151
Phone: (256) 693-7070
Fax: (256) 693-7064
380 Woods Cove Rd
Scottsboro, AL 35768
Phone: (256) 259-4444
Mailing address
500 MARKAVIEW RD NW
HUNTSVILLE, AL 35805-3652
Phone: (256) 535-3100 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 AL DO.1739
207P00000X
- Emergency Medicine		 AL DO.1739

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
AMR DIRECT ADDRESS
Content Type
Affiliation
N
Endpoint Location
1650 SLAUGHTER RD STE A,
MADISON, AL 77025-1669

Additional Information

Education
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE - Graduated 2016
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
IBUKUNOLUWA KUSIMO is affiliated with the following medical group(s):
  • HOSPITAL
    • CRESTWOOD MEDICAL CENTER
      ONE HOSPITAL DR SE
      HUNTSVILLE, AL 35801
    • HELEN KELLER HOSPITAL
      1300 SOUTH MONTGOMERY AVENUE
      SHEFFIELD, AL 35660
    • HUNTSVILLE HOSPITAL
      101 SIVLEY RD
      HUNTSVILLE, AL 35801
    • RIVERVIEW REGIONAL MEDICAL CENTER
      600 SOUTH THIRD STREET
      GADSDEN, AL 35901

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.