Individual provider Active NPI

Tokunbo Ann Osuntokun, MD

  • Pediatrics Physician
  • Westfield, IN
National Provider Identifier
1376526384
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01045034A Issued in IN
Practice address
218 W 161St St # a
Westfield, IN 46074-9623
Phone
(317) 582-9000
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01045034A IN Primary

Addresses

Primary practice location

218 W 161St St # a
Westfield, IN 46074-9623

Mailing address

218 W 161St St # a
Westfield, IN 46074-9623

Other identifiers 1

IdentifierTypeStateIssuer
200111620MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tokunbo.osuntokun.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20050228000120 IN Practitioner - Pediatric Medicine 5991758294 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045034AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Pediatrics Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
St Vincent Pediatric Subspecialties Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tokunbo.osuntokun.1@7598.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1376526384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W 161ST ST # A",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W 161ST ST # A",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749623",
            "telephone_number": "317-582-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNTOKUN",
        "first_name": "TOKUNBO",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01045034A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200111620",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tokunbo.osuntokun.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "218 W 161st St # A",
            "city": "Westfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460749623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.