IMIKOMOBONG EKOPIMO IBIA MD
NPI 1285122762
Emergency Medicine in Boston, MA

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2026, Jun 4, 2026, Sep 10, 2025 and 4 more (7 updates tracked since 2018).

About Imikomobong Ekopimo Ibia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMIKOMOBONG EKOPIMO IBIA MD (NPI 1285122762) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Georgia (109444) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1285122762
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameIMIKOMOBONG EKOPIMO IBIACredential: MD
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address55 Fruit StBoston, MA 02114-2621 · (617) 724-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 30, 2018
Last NPPES UpdateAugust 10, 20267 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1285122762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in GA · 109444✔ Licensed in MA · 290390
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 290390 (MA)
55 FRUIT ST, Boston, MA 02114

Secondary Practice Locations 3

Location 11133 EAGLES LANDING PKWYSTOCKBRIDGE, GA 30281-5085 · Phone (678) 604-1000 · Fax (770) 389-2133
Location 275 Francis StBoston, MA 02115-6110 · Phone (617) 732-5636
Location 3300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Imikomobong Ekopimo Ibia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133478670
PECOS Enrollment IDI20240806003390, I20251001000001
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Imikomobong Ibia reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
Emergency Medicine
81 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 994 clinicians in this Medicare group
Internal Medicine
30 TUSCAN BOULEVARD
Salem, NH 03079
  • Reassigned Medicare billing, Massachusetts enrollment
  • 181 clinicians in this Medicare group
Emergency Medicine
7150 CONTEE RD
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • Also billed through NPI 1134117393 (Virginia)
  • 1,150 clinicians in this Medicare group
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 777 clinicians in this Medicare group
Emergency Medicine
2122 MANCHESTER EXPY
Columbus, GA 31904
  • Reassigned Medicare billing, Georgia enrollment
  • 200 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
104 services104 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
47 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Imikomobong Ibia's NPI number?

The NPI number for Imikomobong Ibia is 1285122762. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Imikomobong Ibia located?

Imikomobong Ibia practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-4100.

What is Imikomobong Ibia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Imikomobong Ibia enrolled in Medicare?

Yes. Imikomobong Ibia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Imikomobong Ibia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Imikomobong Ibia reassigns Medicare benefits to 10 organizations: The General Hospital Corporation (Boston, MA), Massachusetts General Physicians Organization Inc (Boston, MA), Children's Hospital Pediatric Associates, Inc (Boston, MA), Brigham & Womens Physicians Organization Inc (Boston, MA), Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA) and 5 more organizations, listed in the Medicare section above. Each 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 Imikomobong Ibia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Imikomobong Ibia accept?

Health plans from Taro Health list Imikomobong Ibia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Imikomobong Ibia affiliated with any hospitals?

According to CMS data, Imikomobong Ibia is affiliated with Newton-Wellesley Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Imikomobong Ibia was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.