Individual provider Active NPI

Desmond Okey Ikondu, MD

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1053393983
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1348 Issued in TX
Practice address
2502 W Trenton Rd
Edinburg, TX 78539-8070
Phone
(956) 630-2119
Fax
(956) 682-6115
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L1348 TX Primary
Emergency Medicine Physician 207P00000X L1348 TX

Addresses

Primary practice location

2502 W Trenton Rd
Edinburg, TX 78539-8070

Mailing address

2502 W Trenton Rd
Edinburg, TX 78539-8070
Phone (956) 630-2119

Other identifiers 9

IdentifierTypeStateIssuer
141660402MedicaidTX
141060401MedicaidTX
141660401OtherTXINDIV TPI MEDICIAID
201528101OtherTXGROUP TPI MEDICIAID
00Z798OtherTXMEDICARE PTAN -5/1/08
0075GCOtherTXBCBS
141660405MedicaidTX
113464OtherTXSUPERIOR HEALTH CARE
141660407MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000212 TX Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Internal Medicine 0840254702 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon Springs Emergency Medicine Associates PAGroup PAC ID 2769728641, 63 clinicians
McAllen Emergency Medicine Associates PAGroup PAC ID 1557686409, 79 clinicians
Municipal Emergency Medicine Associates, PAGroup PAC ID 2365701323, 51 clinicians
Oak Creek Emergency Medicine Associates PAGroup PAC ID 4385988385, 70 clinicians
Shavano Emergency Medicine Associates, PAGroup PAC ID 2062777634, 47 clinicians

Practice addresses (Care Compare)

140 Frontage Rd
Alamo, TX 78516-1602
Phone (956) 403-5100

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 632-4000

3615 N Interstate 69C
Edinburg, TX 78542-3262
Phone (956) 259-2100

3700 W Nolana Ave
McAllen, TX 78504-4884
Phone (956) 213-2700

4702 S McColl Rd
Edinburg, TX 78539-8201
Phone (956) 213-2600

Hospital & facility affiliations

  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Merit-based Incentive Payment System (MIPS)

Final score
86.24 of 100Reported as group
Quality
73.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L1348TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 3, 2018 Accepting new patients
Canyon Springs Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 28, 2019 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Rio Valley Emergency Physician Associates PLLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Emergency Physicians of South Texas PLLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Feb 25, 2013 Accepting new patients
Rio Grande Valley Emergency Physicians PLLC Emergency Medicine CurrentSince Apr 13, 2015 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Municipal Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 24, 2024 Accepting new patients
RFC Radiology Associates LLC Past Accepting new patients
Bridge Avenue Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

140 Frontage Rd
Alamo, TX 78516
Phone (956) 403-5100

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

3615 N Interstate 69C
Edinburg, TX 78542
Phone (956) 259-2100

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1053393983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398070",
            "telephone_number": "956-630-2119",
            "fax_number": "956-682-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398070",
            "telephone_number": "956-630-2119",
            "fax_number": "956-682-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKONDU",
        "first_name": "DESMOND",
        "middle_name": "OKEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1348",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L1348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141660402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141060401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV TPI  MEDICIAID",
            "identifier": "141660401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TPI MEDICIAID",
            "identifier": "201528101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN -5/1/08",
            "identifier": "00Z798",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0075GC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141660405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH CARE",
            "identifier": "113464",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141660407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.