ABIMBOLA DATONYE IKETUBOSIN FNP
NPI 1356841514
Nurse Practitioner - Family in Chandler, AZ
About Abimbola Datonye Iketubosin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABIMBOLA DATONYE IKETUBOSIN FNP (NPI 1356841514) is an individual family provider in Chandler, Arizona, licensed in Arizona (221449) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Abimbola Datonye Iketubosin Fnp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Abimbola Iketubosin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chandler, AZ 85286
- Reassigned Medicare billing, Texas enrollment
- 482 clinicians in this Medicare group
Phoenix, AZ 85004
- Reassigned Medicare billing, Arizona enrollment
- 90 clinicians in this Medicare group
Phoenix, AZ 85032
- Reassigned Medicare billing, Arizona enrollment
- 99 clinicians in this Medicare group
Blythe, CA 92225
- Reassigned Medicare billing, California enrollment
- 135 clinicians in this Medicare group
Wofford Heights, CA 93285
- Reassigned Medicare billing, California enrollment
- 264 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHANDLER, AZ 85225
CHANDLER, AZ 85225
CHANDLER, AZ 85225
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 Abimbola Iketubosin's NPI number?
The NPI number for Abimbola Iketubosin is 1356841514. It was assigned to this individual provider in the NPPES registry on February 14, 2018.
Where is Abimbola Iketubosin located?
Abimbola Iketubosin practices at 501 W Ray Rd Ste 4, Chandler, AZ 85225. The listed phone number is (602) 654-3802.
What is Abimbola Iketubosin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Abimbola Iketubosin enrolled in Medicare?
Yes. Abimbola Iketubosin 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 Abimbola Iketubosin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abimbola Iketubosin reassigns Medicare benefits to 5 organizations: Gila River Health Care Corporation (Chandler, AZ), Corner Health Medical Group P A (Phoenix, AZ), Privia Medical Group Arizona, LLC (Phoenix, AZ), Clinicas De Salud Del Pueblo, Inc (Blythe, CA) and Clinica Sierra Vista (Wofford Heights, CA). 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 Abimbola Iketubosin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abimbola Iketubosin accept?
Health plans from Blue Cross Blue Shield of Arizona list Abimbola Iketubosin 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.
When was this NPI record last updated?
The NPPES record for Abimbola Iketubosin was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.
# Abimbola Datonye Iketubosin, FNP · NPI 1356841514
Family physician in Chandler, Arizona. Individual provider, active in the CMS NPPES registry since February 14, 2018.
## Identity
- **NPI:** 1356841514 (Entity type: Individual)
- **Enumerated:** February 14, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 221449 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 W RAY RD STE 4, Chandler, AZ 85225-7284
- **Phone:** (602) 654-3802 · **Fax:** (800) 682-1416
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Gila River Health Care Corporation (NPI 1437664182, Chandler, AZ); Corner Health Medical Group P A (NPI 1205689171, Phoenix, AZ); Privia Medical Group Arizona, LLC (NPI 1760441141, Phoenix, AZ); Clinicas De Salud Del Pueblo, Inc (NPI 1124115431, Blythe, CA); Clinica Sierra Vista (NPI 1437151800, Wofford Heights, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356841514) · Data from the CMS NPPES public registry.