DR. BANKOLE O BOTU M.D.
NPI 1548210834
Internal Medicine in Fort Knox, KY

Q: What is Bankole Botu's NPI number?

The NPI number for Bankole Botu is 1548210834. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Bankole Botu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Bankole Botu was last updated on March 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 10, 2006PECOS Enrolled

289 IRELAND AVE, BLDG. 851 WTC UNIT, FORT KNOX, KY 40121(502) 624-9844(502) 624-9578 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Bankole O Botu M.d. NPPES

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

DR. BANKOLE O BOTU M.D. (NPI 1548210834) is an individual internal medicine provider in Fort Knox, Kentucky, licensed in Kentucky (33272) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548210834

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BANKOLE O BOTUCredential: M.D.

Location Address289 IRELAND AVE, BLDG. 851 WTC UNITFort Knox, KY 40121-5111

Mailing Address289 Ireland Ave, Bldg. 851 Wtc UnitFort Knox, KY 40121-5111 · (502) 624-9844 · Fax (502) 624-9578

Phone(502) 624-9844

Fax(502) 624-9578

Sole ProprietorYes

Enumeration DateMay 10, 2006

Last NPPES UpdateMarch 24, 2010

✔ NPI 1548210834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 33272

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

289 IRELAND AVE, Fort Knox, KY 40121

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Other Identifiers 2

Medicare UPINH11959KY

Medicaid64034242KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bankole O Botu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40121 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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