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KENNY NONSO IKEBUDU DO, FACOI
NPI 1972243277
Internal Medicine in Oxford, MS

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
1100 BELK BLVD, OXFORD, MS 38655(662) 636-1000(662) 636-1670 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenny Nonso Ikebudu Do, Facoi NPPES

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

KENNY NONSO IKEBUDU DO, FACOI (NPI 1972243277) is an individual internal medicine provider in Oxford, Mississippi, licensed in Mississippi (35621) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2022).

NPPES Registry Identity

NPI1972243277
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNY NONSO IKEBUDUCredential: DO, FACOI
Location Address1100 BELK BLVDOxford, MS 38655-5242
Mailing Address1100 Belk BlvdOxford, MS 38655-5242 · (662) 636-1000 · Fax (662) 636-1670
Phone(662) 636-1000
Fax(662) 636-1670
Sole ProprietorYes
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1972243277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 35621
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.
1100 BELK BLVD, Oxford, MS 38655
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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

Kenny Nonso Ikebudu Do, Facoi 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 ID42691198
PECOS Enrollment IDI20251112002374
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.

Hospital Affiliations CMS Care Compare

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38655 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

MEGHAN PATEL
Student in an Organized Health Care Education/Training Program
1100 BELK BLVD
OXFORD, MS 38655
Lafayette County (662) 636-1000
RAJESH SUBRAMANYA M.D
Pediatrics
1100 BELK BLVD
OXFORD, MS 38655
Lafayette County (662) 636-1000
DR. TRICIA AKI ALEJANDRO
Student in an Organized Health Care Education/Training Program
1100 BELK BLVD
OXFORD, MS 38655
Lafayette County (662) 636-1000
MEHNAZ NADEEM MD
Student in an Organized Health Care Education/Training Program
1100 BELK BLVD
OXFORD, MS 38655
Lafayette County (662) 636-1000
JENNIFER DIXON
Registered Nurse
1100 BELK BLVD
OXFORD, MS 38655
Lafayette County (601) 209-6410
GREGORY L THOMPSON MD
Anesthesiology
1100 BELK BLVD
OXFORD, MS 38655
Lafayette County (662) 232-8100
DR. SAJAN SARKER DO
Internal Medicine
1100 BELK BLVD
OXFORD, MS 38655
Lafayette County (662) 636-1000
DR. STUART TODD ROTH MD
Radiology (Diagnostic Radiology)
1100 BELK BLVD
OXFORD, MS 38655
Lafayette County (662) 232-8100

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 Kenny Ikebudu's NPI number?

The NPI number for Kenny Ikebudu is 1972243277. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Kenny Ikebudu located?

Kenny Ikebudu practices at 1100 Belk Blvd, Oxford, MS 38655. The listed phone number is (662) 636-1000.

What is Kenny Ikebudu's specialty?

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

Is Kenny Ikebudu enrolled in Medicare?

Yes. Kenny Ikebudu 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 Kenny Ikebudu affiliated with any hospitals?

According to CMS data, Kenny Ikebudu is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenny Ikebudu was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.