Active NPI
Martin Tibuakuu, MD
- Cardiovascular Disease Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 39738
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-0001 - Phone
- (603) 650-5000
- NPI assigned
- Jun 12, 2017
- Last updated
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2023033163 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 2023033163 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 39738 | NH | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 04-53144 | KS | |
| Hospitalist Physician | 208M00000X | 2023033163 | MO |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-0001
Mailing address
1605 E Broadway Ste 300
Columbia, MO 65201-8023
Phone (573) 256-7700
Other practice location 1
2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699
Other practice location 2
1605 E Broadway Ste 300
Columbia, MO 65201-8023
Phone (573) 256-7700
Other practice location 3
222 S Woods Mill Rd Ste 760N
Chesterfield, MO 63017-3654
Phone (314) 205-6050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulsepoint Cardiovascular PC
Practice addresses (Care Compare)
1000 W Nifong Blvd BLDG
2 Suite 120
Columbia, MO 65203-5615
Phone (855) 785-7337
1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141
1605 E Broadway
Suite 300
Columbia, MO 65201-8023
Phone (573) 256-7700
3700 W 10TH St
Sedalia, MO 65301-2540
Phone (660) 827-1771
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-53144 | KS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Pulsepoint Cardiovascular PC | Cardiovascular Disease | Current | Accepting new patients |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Chas Physician Services, LLC | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| BRHC | Cardiovascular Disease | Current | Accepting new patients |
| Shore-Bayy Hospitalists Associates | Hospitalist | Current | Accepting new patients |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| Chas Physician Services LLC | Cardiovascular Disease | Current | Accepting new patients |
| Bothwell Regional Health Center | Past | Accepting new patients | |
| Missouri Cardiovascular Specialists | Cardiovascular Disease | Past | Accepting new patients |
| Shore Hospitalists Associates P.a. | Internal Medicine | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
219 S Washington St
Easton, MD 21601
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
1000 W Nifong Blvd
Ste 2-120
Columbia, MO 65203
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
404 Providence Rd
Macon, MO 63552
Phone (660) 395-8914
3700 W 10th St
Ste 200
Sedalia, MO 65301
Phone (660) 827-1771
Interoperability endpoints
- https://app.meldrx.com/api/fhir/gemms-mis01
Organizations & group practices 13
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.
-
- Cardiovascular Disease Physician
- Columbia, MO
- NPI 1629301163
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Hospitalist Physician
- Easton, MD
- NPI 1548618671
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
dba Pulsepoint Clinic
- Cardiovascular Disease Physician
- Columbia, MO
- NPI 1215866124
-
- Pulmonary Disease Physician
- Columbia, MO
- NPI 1326312976
-
dba University Physicians Specialty Care Associates
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
dba Missouri Heart Center
- Cardiovascular Disease Physician
- Columbia, MO
- NPI 1407841703
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
dba Cole Camp Clinic
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Hospital
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1952830085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 E BROADWAY STE 300",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018023",
"telephone_number": "573-256-7700",
"fax_number": "573-256-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [
{
"address_1": "2220 Canterbury Dr",
"address_purpose": "LOCATION",
"city": "Hays",
"state": "KS",
"postal_code": "676012370",
"country_code": "US",
"telephone_number": "785-625-4699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1605 E Broadway Ste 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652018023",
"country_code": "US",
"telephone_number": "573-256-7700",
"fax_number": "573-256-3003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 S Woods Mill Rd Ste 760N",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630173654",
"country_code": "US",
"telephone_number": "314-205-6050",
"fax_number": "314-434-5939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIBUAKUU",
"first_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2023033163",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2023033163",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NH",
"license": "39738",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "04-53144",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2023033163",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.