IBUKUNOLUWA OLUWAPELUMI KUSIMO (DO) – Family Medicine Physician, NPI 1356792790
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
Provider Addresses for IBUKUNOLUWA OLUWAPELUMI KUSIMO (DO)
333 WHITESPORT DR SW STE 304
HUNTSVILLE, AL 358013455
Phone: (256) 469-0350
Fax: (256) 291-3611
Type: Location
Milestone Center, Germantown, Montgomery County, Maryland, United States
GERMANTOWN, MD 208767111
Phone: (240) 686-2300
Type: Mailing
301, Governors Drive Southwest, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States
HUNTSVILLE, AL 358015123
Phone: (256) 551-4500
Type: Location
10300 BAILEY COVE RD SE STE 13
HUNTSVILLE, AL 358032635
Phone: (256) 880-6138
Fax: (256) 881-4619
Type: Location
500 MARKAVIEW RD NW
HUNTSVILLE, AL 358053652
Phone: (256) 535-3100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190402000625 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 120 | 116 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 118 | 115 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 41 | 35 | $0 |
| 99291 | Critical care, first 30-74 minutes | 41 | 40 | $0 |
Insurance plans in this area (ZIP 35801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Emergency Medicine | AL | |
| Nurse Practitioner | AL | |
| Emergency Medicine | AL | |
| Emergency Medicine | AL | |
| Emergency Medicine | FL | |
| Family Practice | AL | |
| General Practice, Emergency Medicine | LA | |
| Emergency Medicine | AL | |
| Nurse Practitioner | TN |
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