Active NPI
Ifechukwude Ikem, MD
- Family Medicine Physician
- Malden, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 294066
- Practice address
- 195 Canal St
Malden, MA 02148-6701 - Phone
- (781) 338-0055
- NPI assigned
- Mar 22, 2019
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D98414 | MD | |
| Family Medicine Physician | 207Q00000X | 294066 | MA | Primary |
Addresses
Primary practice location
195 Canal St
Malden, MA 02148-6701
Mailing address
195 Canal St
Malden, MA 02148-6701
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4678
Other practice location 2
8700 Georgia Ave
Silver Spring, MD 20910-3618
Phone (301) 585-6049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Cameron Medical Group LLP | Past | Accepting new patients |
Locations
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
8700 Georgia Ave
Silver Spring, MD 20910
Phone (301) 585-6049
8700 Georgia Ave
Ste 400
Silver Spring, MD 20910
Phone (301) 585-6049
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Internal Medicine Physician
- Silver Spring, MD
- NPI 1962621029
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist HealthCare Rehabilitation
- Rehabilitation Hospital
- Rockville, MD
- NPI 1043216773
Inpatient rehabilitation facility
-
dba The George Washington University Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
dba MedStar Health Home Care
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1073073276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 CANAL ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 CANAL ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486701",
"telephone_number": "781-338-0055"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-4678",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Georgia Ave",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209103618",
"country_code": "US",
"telephone_number": "301-585-6049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IKEM",
"first_name": "IFECHUKWUDE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D98414",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "294066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.