DR. OLIVIA MARY CUMMINGS MUTAMBUZE MD
NPI 1669114864
Psychiatry & Neurology - Neurology in Shelbyville, IN

Q: What is Olivia Cummings Mutambuze's NPI number?

The NPI number for Olivia Cummings Mutambuze is 1669114864. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Olivia Cummings Mutambuze's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since April 08, 2022PECOS Enrolled

2451 INTELLIPLEX DR STE 250, SHELBYVILLE, IN 46176(317) 398-5267(317) 401-2211 Get Directions Write a Review

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

Record update history: May 27, 2026, Apr 8, 2022 (2 updates tracked since 2022).

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About Dr. Olivia Mary Cummings Mutambuze Md NPPES

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

DR. OLIVIA MARY CUMMINGS MUTAMBUZE MD (NPI 1669114864) is an individual neurology provider in Shelbyville, Indiana, licensed in Indiana (01100398A) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1669114864

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. OLIVIA MARY CUMMINGS MUTAMBUZECredential: MD

Location Address2451 INTELLIPLEX DR STE 250Shelbyville, IN 46176-8580

Mailing Address30 W Rampart St Ste 200Shelbyville, IN 46176-8846 · (317) 421-2012 · Fax (317) 398-1851

Phone(317) 398-5267

Fax(317) 401-2211

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2022

Enumeration DateApril 8, 2022

Last NPPES UpdateJune 18, 20262 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1669114864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IN · 01100398A

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2451 INTELLIPLEX DR STE 250, Shelbyville, IN 46176

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olivia Mary Cummings Mutambuze Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688052277

PECOS Enrollment IDI20260626004218

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 Reassignment

Medicare enrollment records show Olivia Cummings Mutambuze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Major Multispecialty Associates

Same address

Internal Medicine

2451 INTELLIPLEX DR
Shelbyville, IN 46176

Reassigned Medicare billing, Indiana enrollment
73 clinicians in this Medicare group

NPI 1437398492 (317) 392-3211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46176 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

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 6

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

WENTAO MI MD, PHD

Psychiatry & Neurology (Neurology)