Dr Shammah Ibukun Ike, MD - General Practice in San Mateo, CA

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Dr Shammah Ibukun Ike, MD is a General Practice physician based in San Mateo, California. Dr Shammah Ibukun Ike is licensed to practice in California (license number PTL18713) and his current practice location is 222 W 39th Ave, San Mateo, California. He can be reached at his office (for appointments etc.) via phone at (650) 573-2530.

NPI number for Dr Shammah Ibukun Ike is 1619760410 and his current mailing address is 222 W 39th Ave, San Mateo, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619760410.

Contact Information

Dr Shammah Ibukun Ike, MD
222 W 39th Ave,
San Mateo, CA 94403-4364
(650) 573-2530
Not Available

Map and Direction




Physician's Profile

Full NameDr Shammah Ibukun Ike
GenderMale
SpecialityGeneral Practice
Location222 W 39th Ave, San Mateo, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619760410
  • Provider Enumeration Date: 05/24/2025
  • Last Update Date: 09/15/2025

Medical Identifiers

Medical identifiers for Dr Shammah Ibukun Ike such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619760410NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice PTL18713 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shammah Ibukun Ike is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shammah Ibukun Ike, MD
222 W 39th Ave,
San Mateo, CA 94403-4364

Ph: (650) 573-2530		Dr Shammah Ibukun Ike, MD
222 W 39th Ave,
San Mateo, CA 94403-4364

Ph: (650) 573-2530

Reviews and Comments


General Practice Doctors in San Mateo, CA

Demetra Serena Stamm, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 222 W 39th Ave, San Mateo, CA 94403
Phone: 916-955-2809    
Dr. Farah Zaidi, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 222 W 39th Ave, San Mateo, Ca 94403, San Mateo, CA 94403
Phone: 650-573-2530    Fax: 650-573-2527

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.