YETUNDE BUCKNOR MD
NPI 1043320815
Pediatrics in Gaithersburg, MD
About Yetunde Bucknor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YETUNDE BUCKNOR MD (NPI 1043320815) is an individual pediatrics provider in Gaithersburg, Maryland, licensed in Maryland (D0075721) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yetunde Bucknor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yetunde Bucknor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Takoma Park, MD 20912
- Reassigned Medicare billing, District of Columbia enrollment
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20877 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Yetunde Bucknor's NPI number?
The NPI number for Yetunde Bucknor is 1043320815. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Yetunde Bucknor located?
Yetunde Bucknor practices at 220 Girard St Ste 100, Gaithersburg, MD 20877. The listed phone number is (301) 216-0880.
What is Yetunde Bucknor's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Yetunde Bucknor enrolled in Medicare?
Yes. Yetunde Bucknor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yetunde Bucknor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yetunde Bucknor reassigns Medicare benefits to Community Clinic, Inc. (Takoma Park, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yetunde Bucknor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yetunde Bucknor was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Yetunde Bucknor, MD · NPI 1043320815
Pediatrics physician in Gaithersburg, Maryland. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1043320815 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D0075721 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 220 GIRARD ST STE 100, Gaithersburg, MD 20877-3467
- **Phone:** (301) 216-0880 · **Fax:** (301) 216-2891
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Clinic, Inc. (NPI 1790730281, Takoma Park, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043320815) · Data from the CMS NPPES public registry.