Mary Oluwatoyin Ebueku-Smith, MD
NPI 1639514805ActiveIndividual· Pediatrics· Indianapolis, IN
Pediatrics (MD) in Indianapolis, Indiana, trained at Drexel University College of Medicine (class of 2013). Medicare paid $19,336 for services to 157 patients in 2024.
Overview
| NPI | 1639514805 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 1, 2013 |
| Last updated in NPPES | Nov 14, 2024 |
| Certified by provider | Nov 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 01080536A | IN |
| Family Medicine | 207Q00000X | 121121 | AK |
| Internal Medicine | 207R00000X | TL4365 | WY |
| Internal Medicine | 207R00000X | 60750536 | WA |
| Internal Medicine | 207R00000X | 121121 | AK |
| Internal Medicine | 207R00000X | 11591A | WY |
| Internal Medicine | 207R00000X | S4942 | TX |
| Internal Medicine | 207R00000X | 0101281553 | VA |
| Pediatrics | 208000000X | 11591A | WY |
| Pediatrics | 208000000X | TL4365 | WY |
| Hospitalist | 208M00000X | MD213533 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (IN); Practitioner - Hospitalist (MA); Practitioner - Hospitalist (OR); Practitioner - Internal Medicine (TN); Practitioner - Internal Medicine (TX); Practitioner - Pediatric Medicine (VA); Practitioner - Internal Medicine (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 157 |
|---|---|
| Services billed | 165 across 7 procedure codes |
| Paid by Medicare | $19,336 |
Education and affiliations
| Medical school | Drexel University College of Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Internal Medicine |
Medical groups
- Providence Health and Services - WashingtonWalla Walla, WA · 270 clinicians
- Berkshire Medical Center IncPittsfield, MA · 203 clinicians
- Maury Regional Medical Group, IncColumbia, TN · 117 clinicians
Hospital affiliations
- Berkshire Medical CenterPittsfield, MA
- Fairview HospitalGreat Barrington, MA
- Maury Regional HospitalColumbia, TN
- North Adams Regional Hospital CorporationNorth Adams, MA
- Providence St Mary Medical CenterWalla Walla, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pediatricians in Indianapolis
- 1811288152
- 1922267525
- 1073010351
- 1295231173
- 1336464916
- 1417914441
- 1528445756
- 1558391664
- 1669430658
- 1003840208
- 1013593680
- 1053940676
All 398 pediatricians in Indianapolis · All pediatricians in Indiana