Individual provider Active NPI

Martin Tibuakuu, MD

  • Cardiovascular Disease Physician
  • Lebanon, NH
National Provider Identifier
1952830085
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
39738 Issued in NH
Practice address
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone
(603) 650-5000
NPI assigned
Jun 12, 2017
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211214002776 MD Practitioner - Hospitalist 4880005156 Reassigns benefits to 3 organizations
I20221101002662 DC Practitioner - Internal Medicine 4880005156 Reassigns benefits to 1 organization
I20230825001694 MO Practitioner - HospitalistPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880005156 Reassigns benefits to 3 organizations
I20260608004102 KS Practitioner - Cardiovascular Disease (Cardiology) 4880005156

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 PCGroup PAC ID 0042775173, 2 clinicians
Chas Physician Services LLCGroup PAC ID 7810038064, 25 clinicians
BRHCGroup PAC ID 6608049697, 8 clinicians

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

LicenseStateTypeSpecialty
04-53144KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2021 Accepting new patients
Pulsepoint Cardiovascular PC Cardiovascular Disease CurrentSince Jun 1, 2026 Accepting new patients
The Curators of the University of Missouri CurrentSince Oct 8, 2024 Accepting new patients
Chas Physician Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
Curators of the University of Missouri CurrentSince Oct 8, 2024 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
BRHC Cardiovascular Disease CurrentSince Oct 31, 2023 Accepting new patients
Shore-Bayy Hospitalists Associates Hospitalist CurrentSince Dec 1, 2022 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jul 1, 2022 Accepting new patients
Chas Physician Services LLC Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
Bothwell Regional Health Center PastSince Oct 31, 2023 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

  • FHIR API: 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.

View all 13

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.