Abiodun O Kuku, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E3852 Issued in AR

Practice address

706 Ross St
Oak Grove, LA 71263-9798

Phone

(318) 428-3237

Fax

(318) 428-6180

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Emergency Medicine

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Carroll Health Systems, LLCGroup PAC ID 5294627774, shared by 8 NPIs, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Carroll Memorial Hospital Hospital, Oak Grove, LA, CCN 191327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akuku@wchs.securechart.com

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.

• West Carroll Health Systems LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Oak Grove, LA
  • NPI 1255455390
  Medicare reassignment NPD
• West Carroll Health Systems LLC

  • General Acute Care Hospital
  • Oak Grove, LA
  • NPI 1306843826
  Medicare reassignment NPD
• West Carroll Health Systems LLC

  • General Acute Care Hospital
  • Oak Grove, LA
  • NPI 1386700888

  Emergency Medicine

  Medicare reassignment NPD
• West Carroll Health Systems LLC

  • Rural Health Clinic/Center
  • Lake Providence, LA
  • NPI 1851374748
  NPD (past)

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

• West Carroll Health Systems LLC

  • General Acute Care Hospital
  • Oak Grove, LA
  • NPI 1306843826
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1528025525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237",
            "fax_number": "318-428-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237",
            "fax_number": "318-428-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKU",
        "first_name": "ABIODUN",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "12964R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E3852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1559628",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yulanda Yvette Johnson
• Savanna Faith Jones, M.S., P-SLP, CF-SLP
• Just Health
• Just Health
• Rosemary Takyi Koeppel, M.D.
• Pamela Lewis, RPH
• Julie D McIntosh, PAC
• Crystal R Middleton, MA, CCC-SLP
• Ann Marie Nicole Moody, RPH
• Candice Moore

• Pediatrics Physician in Oak Grove, LA
• Providers in Oak Grove, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.