Organization Active NPI

Ike Eni, M.D., P.a.

  • Internal Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1043415656
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IKE ENI, M.D., P.A.
Practice address
9319 Pinecroft Dr Ste 120
The Woodlands, TX 77380-3485
Phone
(936) 321-1946
Fax
(936) 321-8271
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Dr. Ike U Eni, M. D.
Title
Owner Physician
Phone
(936) 321-1946

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X K6843 TX
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9319 Pinecroft Dr Ste 120
The Woodlands, TX 77380-3485

Mailing address

9319 Pinecroft Dr Ste 120
The Woodlands, TX 77380-3485
Phone (936) 321-1946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051228000641 TX Part B Supplier - Clinic/Group Practice 7810919271 Receives reassigned benefits from 5 practitioners
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

17198 St Lukes Way
Ste 530
The Woodlands, TX 77384
Phone (936) 321-1946

9319 Pinecroft Dr
Ste 120
The Woodlands, TX 77380
Phone (936) 321-1946

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1043415656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9319 PINECROFT DR STE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803485",
            "telephone_number": "936-321-1946",
            "fax_number": "936-321-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9319 PINECROFT DR STE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803485",
            "telephone_number": "936-321-1946",
            "fax_number": "936-321-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKE ENI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ENI",
        "authorized_official_first_name": "IKE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "936-321-1946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6843",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.