DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D) – Internal Medicine Physician, NPI 1013112069

DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D) is a healthcare provider. based in Boston, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 25MA08476800 (NJ). The NPI Number for DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D) is 1013112069

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D)
NPI
1013112069
Phone
(844) 362-1735
Address
PO BOX 416457
Enumeration Date
19 June 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9085222000
Graduation Year
1992 (34 years ago)
PAC ID
8224189261
Group Practice PAC ID
5890703177
Professional Enrollment ID
I20090702000124
Address ID
NJ079023533SU99XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,887 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022416457

    Phone: (844) 362-1735

    Type: Mailing

  • Overlook Medical Center, 99, Beauvoir Avenue, Overlook, Summit, Union County, New Jersey, 07901, United States

    SUMMIT, NJ 079013533

    Phone: (908) 522-2000

    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 $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Amgen Inc. ($121).

Total Amount

$175

General + Research + Ownership

Payments

4

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-07-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090702000124IInternal MedicineNJTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes426179$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes333152$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes137137$0
99239Hospital discharge day management, more than 30 minutes119119$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 5890703177View full group profile

Reviews

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Frequently asked questions

Does DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D) have a public NPI I can cite?
Public records show DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D) under NPI 1013112069.
Is DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D)'s NPI status active today?
Active status means DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D)'s NPI record is not deactivated in the public file.
What type of care does DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D) provide?
DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D) tied to Boston, Massachusetts?
If you are local to Boston, Massachusetts, DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D) may be relevant to your search.
Why is information missing for DR. OLUMUYIWA ADEDOTUN IBIKUNLE (M.D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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