Marcos Hiroshi Ikeda, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

N6375 Issued in TX

Practice address

509 W Tidwell Rd
Suite 318
Houston, TX 77091-4352

Phone

(713) 692-0600

NPI assigned

Apr 29, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHBJAD/Endpoint/JHBJAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bellissima Women'S Clinic

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1164968350
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1003050402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 NORTHWEST FWY STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928208",
            "telephone_number": "281-864-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD",
            "address_2": "SUITE 318",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914352",
            "telephone_number": "713-692-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEDA",
        "first_name": "MARCOS",
        "middle_name": "HIROSHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N6375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "R0172459",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "065075",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor O. Ike, APRN, PMHNP-BC
• Ruth Ikeanyionwu, APRN
• Ikechi Ikechi, OD
• Edith Ikechukwu
• Patrick U Ikechukwu, NP
• Saki Ikeda, M.D.
• Susumu Ikeda, D.C.
• Takehisa Ikeda, MD
• Pat Ikediobi
• Jacinta Ikegwuonu

• Obstetrics & Gynecology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.