Individual provider Active NPI

James Chukwuma Ikemba, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1124055579
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8084 Issued in TX
Practice address
12200 Park Central Dr
Ste 415
Dallas, TX 75251-2100
Phone
(972) 232-0218
Fax
(214) 660-0270
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L8084 TX Primary

Addresses

Primary practice location

12200 Park Central Dr
Ste 415
Dallas, TX 75251-2100

Mailing address

12200 Park Central Dr
Ste 415
Dallas, TX 75251-2100
Phone (972) 232-0218

Other identifiers 3

IdentifierTypeStateIssuer
8F7946OtherTXMEDICARE ID
165041801MedicaidTX
8F9490OtherTXMEDICARE ID

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
I20050110000865 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 5597754341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

3901 W 15TH St
Plano, TX 75075-7738
Phone (954) 939-5000

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jan 9, 2018 Accepting new patients
Ecs of Virginia, Inc. Past Accepting new patients
Emporia Hospital Corporation Past Accepting new patients
Emporia Hospital Corporation Past Accepting new patients
Sterling Emergency Services of Virginia Inc Past Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

9525 Greenville Ave
Dallas, TX 75243
Phone (214) 335-2600

11970 N Central Expy
Dallas, TX 75243
Phone (972) 566-7111

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

Interoperability endpoints

  • Direct secure messaging: dmcjikemb@yourcarecommunity.org

Organizations & group practices 7

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 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1124055579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR",
            "address_2": "STE 415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512100",
            "telephone_number": "972-232-0218",
            "fax_number": "214-660-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR",
            "address_2": "STE 415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512100",
            "telephone_number": "972-232-0218",
            "fax_number": "214-660-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEMBA",
        "first_name": "JAMES",
        "middle_name": "CHUKWUMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "8F7946",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165041801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "8F9490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.