Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Oluwatoyin Ebueku-Smith, MD

Individual provider Family Medicine Physician · NPI 1639514805

Mary Oluwatoyin Ebueku-Smith, MD is an Internal Medicine in Indianapolis, Indiana. Graduated from Drexel University College of Medicine in 2013, 13 years ago. Practices with Maury Regional Medical Group, Inc, a 120-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alaska, Indiana, Oregon and Texas and 3 more.

Years since qualifying
13
Trained at
Drexel University College of Medicine
Licensed in
AK, IN, OR, TX, VA, WA
In the registry since
2013
Specialties on file
11
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 W 86th St
Indianapolis, IN 46260-1902
Phone: (317) 338-6815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 230 E Marydale Ave, Soldotna, AK 99669 — (907) 262-3119
  • Community Physicians Of Indiana, Inc, Indianapolis, IN 46256-1695 — (317) 621-9650
  • 6431 Fannin St, Houston, TX 77030-1501 — (713) 500-5154

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01080536A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 121121 (AK)
Internal Medicine Physician Taxonomy 207R00000X · Licence TL4365 (WY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 60750536 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 121121 (AK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11591A (WY)
Internal Medicine Physician Taxonomy 207R00000X · Licence S4942 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101281553 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence 11591A (WY)
Pediatrics Physician Taxonomy 208000000X · Licence TL4365 (WY)
Hospitalist Physician Taxonomy 208M00000X · Licence MD213533 (OR)

Record details

NPI number1639514805
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2013
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Maury Regional Medical Group, Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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