Ibukunoluwa Oluwapelumi Kusimo, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.1739 Issued in AL

Practice address

333 Whitesport Dr SW Ste 304
Huntsville, AL 35801-3455

Phone

(256) 469-0350

Fax

(256) 291-3611

NPI assigned

Jun 27, 2016

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ibukunoluwa Oluwapelumi Pickens Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Northwest Emergency Physician GroupGroup PAC ID 8628224425, 12 clinicians

Athens-Limestone ER PhysiciansGroup PAC ID 6204084502, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
• Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Merit-based Incentive Payment System (MIPS)

Final score

95.61 of 100Reported as group

Quality

83.5

Improvement activities

40

Cost

77.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Athens-Limestone ER Physicians

  • Emergency Medicine Physician
  • Athens, AL
  • NPI 1528314119
  Medicare reassignment Care Compare group NPD
• Newgen Alabama Billing LLC

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1013744424
  Medicare reassignment Care Compare group NPD
• Northwest Emergency Physician Group

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1205197951
  Medicare reassignment Care Compare group NPD
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1891031894
  Medicare reassignment NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Emergency Physicians Group

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1659366649
  Medicare reassignment NPD
• Ess of Luverne LLC

  • Emergency Medicine Physician
  • Luverne, AL
  • NPI 1457953473
  Medicare reassignment NPD
• Immh Scottsboro LLC

  • Emergency Medicine Physician
  • Scottsboro, AL
  • NPI 1558762393
  Medicare reassignment NPD
• Lakeland Physicians LLC

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1851780951

  Emergency Medicine

  Medicare reassignment NPD
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1194106443
  NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Lakeland Physician Practices LLC

  dba Lakeland Family Practice

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1679913784
  NPD (past)

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

• HH Health System - Athens Limestone, LLC

  dba Athens Limestone Hospital

  • General Acute Care Hospital
  • Athens, AL
  • NPI 1144695081
  Care Compare affiliation
• HH Health System - Shoals LLC

  dba Helen Keller Hospital

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1356792790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKAVIEW RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358053652",
            "telephone_number": "256-535-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW STE 304",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013455",
            "telephone_number": "256-469-0350",
            "fax_number": "256-291-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSIMO",
        "first_name": "IBUKUNOLUWA",
        "middle_name": "OLUWAPELUMI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO.1739",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IBUKUNOLUWA",
            "last_name": "PICKENS",
            "middle_name": "OLUWAPELUMI",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shashi A.M. Kumar, M.D.
• Scariya M Kumaramangalam, M.D.
• Rachel Kummer, CRNP
• Keith Michael Kunze, CRNP
• Bernard A Kurecki, MD
• Laura Taylor Kutys, LPC
• Dhivya Kuzhandai Velu, MD
• Hung-CHI Kwok, M.D.
• David Alton Kyle, D.P.M.
• George M. Kyle, M.D.

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.