IVIE O OKUNDAYE (MD) – Internal Medicine Physician, NPI 1679968077

IVIE O OKUNDAYE (MD) is a healthcare provider. based in Los altos, California. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 036168318 (IL). The NPI Number for IVIE O OKUNDAYE (MD) is 1679968077

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
IVIE O OKUNDAYE (MD)
NPI
1679968077
Phone
(650) 321-4121
Address
325 DISTEL CIR
Enumeration Date
2 April 2015
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
3129266146
Graduation Year
2015 (11 years ago)
PAC ID
5890098016
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20240509000259
Address ID
IL600451687LA800XXRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:11State licenses:3Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for IVIE O OKUNDAYE (MD)

  • 325 DISTEL CIR

    LOS ALTOS, CA 940221408

    Phone: (650) 321-4121

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-8757

    Type: Mailing

  • 795 EL CAMINO REAL

    PALO ALTO, CA 943012302

    Phone: (650) 321-4121

    Type: Location

  • 1500 E 2nd St Ste 201

    Reno, NV 895021196

    Phone: (775) 982-5000

    Fax: (775) 982-3356

    Type: Location

  • 800 N Westmoreland Rd Ste 201

    Lake Forest, IL 600451687

    Phone: (847) 535-7647

    Fax: (224) 271-4191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $468.

Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($145).

Total Amount

$468

General + Research + Ownership

Payments

4

Total payment records

General Amount

$468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210223000760IInternal MedicineVITBD
I20220912000630IHospitalistWITBD
I20220920002082INephrologyKYTBD
I20240509000259INephrologyILTBD
I20240509000754IInternal MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes271102$0
99214Established patient office or other outpatient visit, 30-39 minutes13663$0
90935Hemodialysis procedure with physician evaluation7139$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7063$0
99204New patient office or other outpatient visit, 45-59 minutes5656$0
View full utilization report →

Insurance plans in this area (ZIP 94022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does IVIE O OKUNDAYE (MD) have a public NPI I can cite?
Public records show IVIE O OKUNDAYE (MD) under NPI 1679968077.
Does the public listing show IVIE O OKUNDAYE (MD) as active?
IVIE O OKUNDAYE (MD)'s NPI record reflects an active status in NPPES.
What services align with IVIE O OKUNDAYE (MD)'s listing?
IVIE O OKUNDAYE (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to IVIE O OKUNDAYE (MD)?
IVIE O OKUNDAYE (MD) shows a connection to Los Altos, California in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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