Individual provider Active NPI

Ifeoma Anthonia Egbuonu, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • El Paso, TX
National Provider Identifier
1083010060
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
R1364 Issued in TX
Practice address
2270 Joe Battle Blvd Ste O
El Paso, TX 79938
Phone
(915) 856-7000
Fax
(915) 275-0318
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X R1364 TX Primary

Addresses

Primary practice location

2270 Joe Battle Blvd Ste O
El Paso, TX 79938

Mailing address

3080 Joe Battle Blvd Ste a
El Paso, TX 79938-2654
Phone (915) 856-7000

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
I20180709000268 TX Practitioner - Endocrinology 3870848732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3080 Joe Battle Blvd
Suite a
El Paso, TX 79938-2654
Phone (915) 351-6600

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Mimbres Valley Medical Center Hospital, Deming, NM, CCN 321309
  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

Merit-based Incentive Payment System (MIPS)

Final score
53.79 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
79.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ifeoma Egbuonu, MD, PLLC Endocrinology, Diabetes & Metabolism CurrentSince Apr 16, 2018 Accepting new patients

Locations

4849 N Mesa St
Ste 201
El Paso, TX 79912

3080 Joe Battle Blvd
Ste A
El Paso, TX 79938
Phone (915) 856-7000

2270 Joe Battle Blvd
Ste O
El Paso, TX 79938
Phone (915) 231-6671

Interoperability endpoints

  • Direct secure messaging: ifeoma.egbuonu.1@18223.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1083010060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 JOE BATTLE BLVD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382654",
            "telephone_number": "915-856-7000",
            "fax_number": "844-849-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE O",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79938",
            "telephone_number": "915-856-7000",
            "fax_number": "915-275-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUONU",
        "first_name": "IFEOMA",
        "middle_name": "ANTHONIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "R1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.