Individual provider Active NPI

Iwona L Ciba, DPM

  • Podiatrist
  • Katy, TX
National Provider Identifier
1043269152
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1427 Issued in TX
Practice address
25722 Kingsland Blvd
Ste 201B
Katy, TX 77494-6705
Phone
(281) 395-9966
Fax
(281) 599-8596
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1427 TX Primary

Addresses

Primary practice location

25722 Kingsland Blvd
Ste 201B
Katy, TX 77494-6705

Mailing address

9211 West Rd
Suite 143-105
Houston, TX 77064-8633
Phone (281) 395-9966

Other identifiers 1

IdentifierTypeStateIssuer
018589401MedicaidTX

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000618 TX Practitioner - Podiatry 0345344586 Practice locations: Katy, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25722 Kingsland Blvd
Suite 201B
Katy, TX 77494-6705
Phone (281) 395-9966

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue117
Removal of nail tissue162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1043269152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 WEST RD",
            "address_2": "SUITE 143-105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770648633",
            "telephone_number": "281-395-9966",
            "fax_number": "281-599-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25722 KINGSLAND BLVD",
            "address_2": "STE 201B",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946705",
            "telephone_number": "281-395-9966",
            "fax_number": "281-599-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIBA",
        "first_name": "IWONA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018589401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.