Individual provider Active NPI

Ikechukwu Robert Ofomata, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1104845304
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L5857 Issued in TX
Practice address
3230 Remond Dr
Dallas, TX 75211-1619
Phone
(214) 743-1200
NPI assigned
Jul 19, 2006
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L5857 TX Primary
Geriatric Psychiatry Physician 2084P0805X L5857 TX

Addresses

Primary practice location

3230 Remond Dr
Dallas, TX 75211-1619

Mailing address

2709 Bitternut Dr
Richardson, TX 75082-5208
Phone (214) 330-0036

Other practice location 1

1350 N Westmoreland Rd
Dallas, TX 75211-1654
Phone (214) 330-0036 ext. 140

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
I20110104000766 TX Practitioner - Psychiatry 4082803218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1350 N Westmoreland Rd
Metrocare Services
Dallas, TX 75211-1654
Phone (214) 743-6159

1353 N Westmoreland Rd
Metrocare Services
Dallas, TX 75211-1654
Phone (214) 743-6159

3230 Remond Dr
Dallas, TX 75211-1619
Phone (214) 743-1200

3242 Remond Dr
Dallas, TX 75211-1619
Phone (214) 743-1200

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8000

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
56.91
Promoting interoperability
52
Improvement activities
40
Cost
84.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5857TXMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center Psychiatry CurrentSince Jul 7, 2003 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 15, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Psychiatry CurrentSince Sep 15, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (464) 743-6139

1350 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 331-0107

3230 Remond Dr
Dallas, TX 75211
Phone (214) 331-0109

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1104845304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BITTERNUT DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750825208",
            "telephone_number": "214-330-0036",
            "fax_number": "214-337-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 REMOND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111619",
            "telephone_number": "214-743-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 N Westmoreland Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752111654",
            "country_code": "US",
            "telephone_number": "214-330-0036 x140",
            "fax_number": "214-337-3905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFOMATA",
        "first_name": "IKECHUKWU",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L5857",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "L5857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.