MEDICARE: PULSEPOINT CARDIOVASCULAR, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1215866124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULSEPOINT CARDIOVASCULAR, PC

Provider Business Mailing Address
First Line	:	1000 W NIFONG BLVD STE 120
Second Line	:	BLDG 2, SUITE 120
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5615
Country	:	US
Telephone Number	:	855-785-7337
Fax Number	:	888-894-4134

Provider Business Practice Location Address
First Line	:	1000 W NIFONG BLVD STE 120
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5615
Country	:	US
Telephone Number	:	855-785-7337
Fax Number	:	888-894-4134

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARTIN TIBUAKUU
Credential	:	MD, MPH, FACC
Telephone Number	:	855-785-7337

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	06/05/2026

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