MARY OLUWATOYIN EBUEKU-SMITH (MD) – Pediatrics Physician, NPI 1639514805
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for MARY OLUWATOYIN EBUEKU-SMITH (MD)
6431 Fannin St
Suite JJL 310
Houston, TX 770301501
Phone: (713) 500-5154
Fax: (713) 500-0612
Type: Location
9955 BUFFALO SPEEDWAY
HOUSTON, TX 770540000
Phone: (404) 791-9431
Type: Mailing
230 E Marydale Ave
Soldotna, AK 99669
Phone: (907) 262-3119
Fax: (907) 260-7301
Type: Location
Community Physicians of Indiana, Inc
7150 Clearvista Drive
Indianapolis, IN 462561695
Phone: (317) 621-9650
Fax: (317) 621-7877
Type: Location
2001 W 86TH ST
INDIANAPOLIS, IN 462601902
Phone:
Type: Mailing
COMMUNITY PHYSICIANS OF INDIANA, INC
7150 CLEARVISTA DRIVE
INDIANAPOLIS, IN 462561695
Phone: (317) 621-9650
Fax: (317) 621-7877
Type: Location
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: 2024-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20180515002951 | I | Internal Medicine | WA | TBD |
| I20180605000850 | I | Internal Medicine | WY | TBD |
| I20190523000101 | I | Internal Medicine | IN | TBD |
| I20201221000912 | I | Internal Medicine | TX | TBD |
| I20210303003100 | I | Internal Medicine | TN | TBD |
| I20221219002373 | I | Hospitalist | OR | TBD |
| I20241118002747 | I | Pediatric Medicine | VA | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 66 | 65 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 42 | 41 | $0 |
Insurance plans in this area (ZIP 77030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CO | |
| Hospitalist, Internal Medicine | UT | |
| Nurse Practitioner | WA | |
| Internal Medicine, Hospitalist | ID | |
| N E U R O L O G Y | OR | |
| Family Practice | WA | |
| - | WA | |
| Emergency Medicine | WA | |
| Physical Therapist In Private Practice | WA | |
| Nurse Practitioner | WA |
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