Kenny Nonso Ikebudu, DO, FACOI

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35621 Issued in MS

Practice address

1100 Belk Blvd
Oxford, MS 38655-5242

Phone

(662) 636-1000

Fax

(662) 636-1670

NPI assigned

Apr 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Internal Medicine

Education

Philadelphia Col of Osteo Med, Sewanee, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RH Mississippi Hospitalist Medicine LLCGroup PAC ID 0547791873, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• RH Mississippi Hospitalist Medicine, LLC

  • Hospitalist Physician
  • Jackson, MS
  • NPI 1891541207
  Medicare reassignment Care Compare group NPD
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  NPD (past)

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

• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1972243277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555242",
            "telephone_number": "662-636-1000",
            "fax_number": "662-636-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555242",
            "telephone_number": "662-636-1000",
            "fax_number": "662-636-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEBUDU",
        "first_name": "KENNY",
        "middle_name": "NONSO",
        "credential": "DO, FACOI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "35621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn McDonald Hunt, M.ED, LPC
• Gary Hunter, DO
• Jenna Hunter, PT, DPT
• Tyler M Hunter, DPT
• Jessica Hutchison, PMHNP
• Timiko Martine Ilion, MED
• Ima at Home LLC
• Ima Medical Home Team LLC
• Impact Health LLC
• Impacting Lives LLC

• Internal Medicine Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.