Iyabo A Iboaya, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35092246 Issued in OH

Practice address

1005 Bellefontaine Ave
Suite 100
Lima, OH 45804-2851

Phone

(419) 227-5298

Fax

(419) 227-5879

NPI assigned

Jan 22, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Other, 2001

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Terra Nova Medical ClinicGroup PAC ID 9739362815, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as individual

Quality

95.13

Improvement activities

40

Cost

78.56

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIHFBD

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.

• Terra Nova Medical Clinic

  • Clinic/Center
  • Findlay, OH
  • NPI 1235436189
  Medicare reassignment Care Compare group NPD Authorized official
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Lima Memorial Professional Corporation

  • Specialist
  • Lima, OH
  • NPI 1457474900
  NPD (past)
• Madison Hma Physician Management LLC

  • Obstetrics & Gynecology Physician
  • Canton, MS
  • NPI 1740359249
  NPD (past)
• Mercy Medical Center-Centerville

  • Emergency Care Clinic/Center
  • Centerville, IA
  • NPI 1528018801
  NPD (past)

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

• Blanchard Valley Regional Health Center

  • General Acute Care Hospital
  • Findlay, OH
  • NPI 1710920327
  Care Compare affiliation

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1508846783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W HIGH ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014340",
            "telephone_number": "419-998-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BELLEFONTAINE AVE",
            "address_2": "SUITE 100",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042851",
            "telephone_number": "419-227-5298",
            "fax_number": "419-227-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBOAYA",
        "first_name": "IYABO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-22",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2002014445",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35092246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09379834",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2902970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faramolu Owokotomo Hurt, DDS
• Thomas Leonard Hustak, PH.D.
• Julia Hutchins
• Bernard John Hynes, M.D.
• Jordyn Hyre
• Ignarski Family Medicine, Inc.
• Favour Chinyere Ihekoronye, RN
• Maranatha C Ihekoronye, CNP
• Illness Prevention and Holistic Health Center
• David Lee Imler, D.O.

• Family Medicine Physician in Lima, OH
• Providers in Lima, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.