Ibukunoluwa Oluwatoni Oribamise, M.D.
Family Medicine in Richfield, MN. Individual provider (NPI-1).
NPI number1689298366
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1689298366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ibukunoluwa Oluwatoni Oribamise
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2020
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 73278 | MN | Yes |
| 207Q00000X | Family Medicine | 125.076094 | IL |
Practice location
790 W 66th StRichfield, MN 55423-2203
Phone 612-873-6963
Mailing address
701 Park AveMinneapolis, MN 55415-1623
Phone 612-873-3000
Is something wrong?
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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