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ABISOLA GBEMISOLA BARUWA ETTI
NPI 1619402021
Internal Medicine - Hematology & Oncology in Matthews, NC

Active since April 23, 2017PECOS Enrolled
79.34/100
CMS Quality Rating
1700 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105(980) 302-7010(980) 302-7015 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Jun 18, 2024, Nov 7, 2022 and 1 more (4 updates tracked since 2017).

About Abisola Gbemisola Baruwa Etti NPPES

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

ABISOLA GBEMISOLA BARUWA ETTI (NPI 1619402021) is an individual hematology & oncology provider in Matthews, North Carolina, licensed in North Carolina (2026-01517) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1619402021
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameABISOLA GBEMISOLA BARUWA ETTI
Location Address1700 MATTHEWS TOWNSHIP PKWYMatthews, NC 28105-4658
Mailing Address200 Hawthorne LnCharlotte, NC 28204-2515
Phone(980) 302-7010
Fax(980) 302-7015
Sole ProprietorNo
Enumeration DateApril 23, 2017
Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1619402021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NC · 2026-01517
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2026-01517 (NC)
1700 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105
Open in Google Maps ↗

Other Names 1

Former Name (1)Abisola Gbemisola Aluko

Secondary Practice Location 1

Location 1200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-6500

Other Identifiers 1

Medicaid1619402021NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abisola Gbemisola Baruwa Etti 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Abisola Baruwa Etti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Presbyterian Hospital
Same address
Hematology & Oncology
1700 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
NPI 1548660020 (980) 302-7010
University Of Connecticut Health Center
626 mi
General Practice
263 FARMINGTON AVE
Farmington, CT 06030
  • Reassigned Medicare billing, Connecticut enrollment
  • 788 clinicians in this Medicare group
NPI 1720083769 (860) 679-7503

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 28105 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

Other Providers at the Same Location NPPES 9

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

NUSRAT AHMAD CHAUDHARY M.D.
Internal Medicine (Medical Oncology)
1700 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 841-8151
DR. KEITHE SACLAYAN SHENSKY MD
Internal Medicine (Medical Oncology)
1700 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 841-8151
TAYLOR ANNE LAVENDER PA-C
Physician Assistant
1700 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (980) 302-7010
MRS. EMILY MOTALEB BELLIS PA-C
Physician Assistant
1700 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (980) 302-7010
ADAM REA KUYKENDAL M.D.
Internal Medicine (Medical Oncology)
1700 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 841-8151
DR. KATHRYN WILLOUGHBY BROWNLEE M.D.
Internal Medicine (Medical Oncology)
1700 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 841-8151
THE PRESBYTERIAN HOSPITAL
Internal Medicine (Hematology & Oncology)
1700 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (980) 302-7010
MATTHEWS HEMATOLOGY ONCOLOGY ASSOCIATES
Internal Medicine (Hematology & Oncology)
1700 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 841-8151

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 Abisola Baruwa Etti's NPI number?

The NPI number for Abisola Baruwa Etti is 1619402021. It was assigned to this individual provider in the NPPES registry on April 23, 2017. The provider is also known as Abisola Gbemisola Aluko.

Where is Abisola Baruwa Etti located?

Abisola Baruwa Etti practices at 1700 Matthews Township Pkwy, Matthews, NC 28105. The listed phone number is (980) 302-7010.

What is Abisola Baruwa Etti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Abisola Baruwa Etti enrolled in Medicare?

Yes. Abisola Baruwa Etti is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abisola Baruwa Etti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abisola Baruwa Etti reassigns Medicare benefits to 2 organizations: The Presbyterian Hospital (Matthews, NC) and University Of Connecticut Health Center (Farmington, CT). 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 Abisola Baruwa Etti'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 Abisola Baruwa Etti was last updated on July 27, 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.