Nike Itohan Kubeyinje, MD
Pediatrics in West Hartford, CT. Individual provider (NPI-1).
NPI number1295922276
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1295922276
- Entity type
- Individual (NPI-1)
- Name
- Nike Itohan Kubeyinje
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2007
- Certification date
- Jan 28, 2022
- Last updated
- Jan 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 55255 | CT | Yes |
| 207P00000X | Emergency Medicine | MD036800 | DC | |
| 208000000X | Pediatrics | 272823 | NY | |
| 208000000X | Pediatrics | ME108550 | FL |
Practice location
785 Farmington AvenueWest Hartford, CT 06119-1673
Phone 860-523-4100 · Fax 860-523-1462
Mailing address
785 Farmington AvenueWest Hartford, CT 06119-1673
Phone 860-523-4100 · Fax 860-523-1462
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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