MARY OLUWATOYIN EBUEKU-SMITH MD
NPI 1639514805
Pediatrics in Indianapolis, IN
About Mary Oluwatoyin Ebueku-smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY OLUWATOYIN EBUEKU-SMITH MD (NPI 1639514805) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01080536A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Locations 3
Other Identifiers 2
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
Mary Oluwatoyin Ebueku-smith 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.
Medicare Billing Reassignments
13Medicare enrollment records show Mary Ebueku-smith reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 294 clinicians in this Medicare group
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 2,087 clinicians in this Medicare group
Columbia, TN 38401
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: Maury Regional Medical Group, Inc
- 228 clinicians in this Medicare group
Shelbyville, TN 37160
- Reassigned Medicare billing, Tennessee enrollment
- 498 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Virginia enrollment
- 528 clinicians in this Medicare group
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Pittsfield, MA 01201
- Reassigned Medicare billing, Massachusetts enrollment
- 394 clinicians in this Medicare group
North Adams, MA 01247
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1437839669 (Massachusetts)
- 153 clinicians in this Medicare group
Guernsey, WY 82214
- Reassigned Medicare billing, Wyoming enrollment
- 28 clinicians in this Medicare group
Walla Walla, WA 99362
- Reassigned Medicare billing, Washington enrollment
- 276 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 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Berkshire Medical Center
Acute Care Hospitals · Pittsfield, MAFairview Hospital
Critical Access Hospitals · Great Barrington, MAMaury Regional Hospital
Acute Care Hospitals · Columbia, TNProvidence St Mary Medical Center
Acute Care Hospitals · Walla Walla, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46260 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46260
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 Mary Ebueku-smith's NPI number?
The NPI number for Mary Ebueku-smith is 1639514805. It was assigned to this individual provider in the NPPES registry on May 1, 2013.
Where is Mary Ebueku-smith located?
Mary Ebueku-smith practices at 2001 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 338-6815.
What is Mary Ebueku-smith's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mary Ebueku-smith enrolled in Medicare?
Yes. Mary Ebueku-smith 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 Mary Ebueku-smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ebueku-smith reassigns Medicare benefits to 13 organizations: St Vincent Pediatric Subspecialties (Indianapolis, IN), Community Physicians Of Indiana Inc (Indianapolis, IN), Family Health Group Inc (Columbia, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN), Southeastern Intensivist Services PC (West Memphis, AR) and 8 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 Mary Ebueku-smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Ebueku-smith accept?
Health plans from Oscar Insurance Company list Mary Ebueku-smith 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 Mary Ebueku-smith affiliated with any hospitals?
According to CMS data, Mary Ebueku-smith is affiliated with Berkshire Medical Center, Fairview Hospital, Maury Regional Hospital and Providence St Mary Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Ebueku-smith was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Mary Oluwatoyin Ebueku-Smith, MD · NPI 1639514805
Pediatrics physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since May 1, 2013.
## Identity
- **NPI:** 1639514805 (Entity type: Individual)
- **Enumerated:** May 1, 2013
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01080536A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 W 86TH ST, Indianapolis, IN 46260-1902
- **Phone:** (317) 338-6815
## 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:** 13 organizations under Medicare reassignment (form CMS-855R): St Vincent Pediatric Subspecialties (NPI 1013967736, Indianapolis, IN); Community Physicians Of Indiana Inc (NPI 1619105244, Indianapolis, IN); Family Health Group Inc (NPI 1134553878, Columbia, TN); App Of Tennessee Hm, PLLC (NPI 1396160768, Shelbyville, TN); Southeastern Intensivist Services PC (NPI 1912942665, West Memphis, AR); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** November 14, 2024
- **Other identifiers:** Medicaid 300025385 (IN); Other P02259015 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639514805) · Data from the CMS NPPES public registry.