SABO BUKAR TANIMU MD NPI 1417063793

NPI Information

  • NPI: 1417063793
  • Provider Name: SABO BUKAR TANIMU, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3501 CRANBERRY BLVD
    WESTON, WI
    ZIP 54476
  • Phone: (715) 393-1000

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NPI Details

Sabo Bukar Tanimu, MD is a gastroenterology internal medicine in Weston, WI with 30 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Sabo Bukar Tanimu, MD NPI is 1417063793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3501 CRANBERRY BLVD
WESTON, WI
ZIP 54476-213
Phone: (715) 393-1000

The NPI 1417063793 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope (HCPCS:43238)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth (HCPCS:43237)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Incision of pancreatic outlet using a flexible endoscope (HCPCS:43262)
  • Insertion of stent into pancreatic or bile duct using a flexible endoscope (HCPCS:43274)
  • Removal of stone or debris from bile or pancreatic duct using a flexible endoscope (HCPCS:43264)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 3/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME96549FLORIDANo
2207RG0100XInternal MedicineGastroenterology35.147175OHIONo
3207RG0100XInternal MedicineGastroenterology51692WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
135306700MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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