Eberenne F Igbokwe, D.O.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

P6428 Issued in TX

Practice address

11041 Shadow Creek Pkwy Ste 121-212
Pearland, TX 77584-7402

Phone

(832) 848-0131

Fax

(713) 583-4804

NPI assigned

Jun 21, 2011

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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

• Efigbokwe PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Pearland, TX
  • NPI 1811601230
  Medicare reassignment NPD Authorized official
• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1104018423

  TX

  Medicare reassignment NPD
• Wound & Limb Preservation Center La1 LLC

  • Occupational Medicine Clinic/Center
  • Houston, TX
  • NPI 1184476780
  Medicare reassignment
• Stanwick Senior Care LLC

  dba Courtyard Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1598270878
  NPD (past)
• Texas a&M University System Health Science Center

  dba Texas A&M Physicians - Round Rock

  • General Practice Physician
  • Round Rock, TX
  • NPI 1992957963
  NPD (past)
• Wilmington Hospice Inc

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1740953173

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1003102732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 SHADOW CREEK PKWY STE 121-212",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847402",
            "telephone_number": "832-848-0131",
            "fax_number": "713-583-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 SHADOW CREEK PKWY STE 121-212",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847402",
            "telephone_number": "832-848-0131",
            "fax_number": "713-583-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBOKWE",
        "first_name": "EBERENNE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "P6428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icare Medical Systems LLC
• Iconic Smiles
• Ideal Dental of Pearland PLLC
• Joyce Boluwatife Idehen, MD
• Oluwakemi Idowu
• Judith Ihediwa
• Nurfaidja Jilhano Ijiran, PT
• Ilacone Group Incorporated
• Joseph Bryan Ilustre, D.D.S
• Imagine Faith Believe LLC

• Geriatric Medicine (Family Medicine) Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.