MARY OLUWATOYIN EBUEKU-SMITH MD
NPI 1639514805
Pediatrics in Indianapolis, IN

Q: 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.

Q: What is Mary Ebueku-smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: 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 22 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.

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment

2001 W 86TH ST, INDIANAPOLIS, IN 46260(317) 338-6815 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 14, 2024, Aug 14, 2023, Dec 8, 2022 and 10 more (13 updates tracked since 2017).

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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

NPI1639514805

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY OLUWATOYIN EBUEKU-SMITHCredential: MD

Location Address2001 W 86TH STIndianapolis, IN 46260-1902

Mailing Address2001 W 86th StIndianapolis, IN 46260-1902

Phone(317) 338-6815

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2013

Enumeration DateMay 1, 2013

Last NPPES UpdateNovember 14, 202413 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1639514805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IN · 01080536A✔ Licensed in WY · 11591A✔ Licensed in WY · TL4365

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 121121 (AK)

Also ListedInternal MedicineTaxonomy 207R00000X · License TL4365 (WY), 60750536 (WA), 121121 (AK), 11591A (WY), S4942 (TX), 0101281553 (VA)

Also ListedHospitalistTaxonomy 208M00000X · License MD213533 (OR)

2001 W 86TH ST, Indianapolis, IN 46260

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Other Names 1

Other Name (5)Mary Ebueku-smith

Secondary Practice Locations 3

Location 16431 Fannin St, Suite JJL 310Houston, TX 77030-1501 · Phone (713) 500-5154 · Fax (713) 500-0612

Location 2230 E Marydale AveSoldotna, AK 99669 · Phone (907) 262-3119 · Fax (907) 260-7301

Location 3Community Physicians of Indiana, Inc, 7150 Clearvista DriveIndianapolis, IN 46256-1695 · Phone (317) 621-9650 · Fax (317) 621-7877

Other Identifiers 2

Medicaid300025385IN

OtherP02259015IN · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, CareSource, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8426329897

PECOS Enrollment IDI20180515002951, I20210303003100, I20260410002870

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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

137 services136 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

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, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220046

Location725 North StreetPittsfield, MA 01201 · Berkshire County

Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number221302

Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County

Emergency services Birthing friendly

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440073

Location1224 Trotwood AveColumbia, TN 38401 · Maury County

Emergency services Birthing friendly

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500002

Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County

Emergency services Birthing friendly

Physician 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.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

AMBER SEAMAN

Physician Assistant