Individual provider Active NPI

Iyabo Olatunde, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1275160202
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01090645A Issued in IN
Practice address
5805 W 43Rd St
Indianapolis, IN 46254-2389
Phone
(812) 376-5315
NPI assigned
Mar 27, 2020
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01090645A IN Primary

Addresses

Primary practice location

5805 W 43Rd St
Indianapolis, IN 46254-2389

Mailing address

5805 W 43Rd St
Indianapolis, IN 46254-2389
Phone (812) 376-5315

Other names 1

  • Iyabo Akinsanmi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824000432 IN Practitioner - Family Practice 7214351741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2118 25TH St
Columbus, IN 47201-3240

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine Past Accepting new patients

Locations

2118 25th St
Ste C
Columbus, IN 47201
Phone (812) 372-8426

2118 25th St
Ste D
Columbus, IN 47201
Phone (812) 372-8281

2118 25th St
Ste E
Columbus, IN 47201
Phone (812) 373-2700

2118 25th St
Ste H
Columbus, IN 47201
Phone (812) 375-3660

2118 25th St
Ste J
Columbus, IN 47201
Phone (812) 372-8426

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

3203 Middle Rd
Columbus, IN 47203
Phone (812) 373-2700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1275160202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 W 43RD ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542389",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 W 43RD ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542389",
            "telephone_number": "812-376-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATUNDE",
        "first_name": "IYABO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01090645A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IYABO",
            "last_name": "AKINSANMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.