1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Internal Medicine
  6. NPI Profile

IBINABO DEDE MD
NPI 1730765272
Internal Medicine in Bloomington, IL

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
1505 EASTLAND DR STE 330, BLOOMINGTON, IL 61701(309) 662-3311(309) 662-9709 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2024, Apr 5, 2021, Mar 23, 2021 (3 updates tracked since 2021).

About Ibinabo Dede Md NPPES

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

IBINABO DEDE MD (NPI 1730765272) is an individual internal medicine provider in Bloomington, Illinois, licensed in Illinois (036169126) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Vincennes.

NPPES Registry Identity

NPI1730765272
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameIBINABO DEDECredential: MD
Location Address1505 EASTLAND DR STE 330Bloomington, IL 61701-7912
Mailing Address1505 Eastland Dr Ste 330Bloomington, IL 61701-7912 · (309) 662-3311 · Fax (309) 662-9709
Phone(309) 662-3311
Fax(309) 662-9709
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 23, 2021
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1730765272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036169126
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1505 EASTLAND DR STE 330, Bloomington, IL 61701
Open in Google Maps ↗

Other Names 1

Former Name (1)Ibinabo Obuoforibo

Secondary Practice Location 1

Location 1520 S 7th StVincennes, IN 47591-1038 · Phone (812) 885-8520

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

Ibinabo Dede 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 ID9830590371
PECOS Enrollment IDI20240730003778
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services27 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

HARIRAJAN MANI MD
Family Medicine
1505 EASTLAND DR STE 330
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
AZFAR KHAN NIAZI MD
Internal Medicine
1505 EASTLAND DR STE 330
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
BILAL NADEEM MD
Internal Medicine
1505 EASTLAND DR STE 330
BLOOMINGTON, IL 61701
McLean County (309) 662-3311

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 Ibinabo Dede's NPI number?

The NPI number for Ibinabo Dede is 1730765272. It was assigned to this individual provider in the NPPES registry on March 23, 2021. The provider is also known as Ibinabo Obuoforibo.

Where is Ibinabo Dede located?

Ibinabo Dede practices at 1505 Eastland Dr Ste 330, Bloomington, IL 61701. The listed phone number is (309) 662-3311.

What is Ibinabo Dede's specialty?

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

Is Ibinabo Dede enrolled in Medicare?

Yes. Ibinabo Dede 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.

Is Ibinabo Dede affiliated with any hospitals?

According to CMS data, Ibinabo Dede is affiliated with St Mary Medical Center, Saint Francis Medical Center and Osf Saint Elizabeth Mdl Ctr.

When was this NPI record last updated?

The NPPES record for Ibinabo Dede was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.