Active NPI
Ibe Medical Associate PC
- Family Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD30564
- Legal business name
- IBE MEDICAL ASSOCIATE PC
- Practice address
- 1160 Varnum St NE
Suite 106
Washington, DC 20017-2107 - Phone
- (202) 529-0021
- Fax
- (202) 529-5548
- NPI assigned
- Mar 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Ikechukwu Ibe, MEDICAL DOCTOR
- Title
- MD
- Phone
- (202) 529-0021
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD30564 | DC | Primary |
Addresses
Primary practice location
1160 Varnum St NE
Suite 106
Washington, DC 20017-2107
Mailing address
1160 Varnum St NE
Suite 106
Washington, DC 20017-2107
Phone (202) 529-0021
Other names 1
- none
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1160 Varnum St NE
Ste 166
Washington, DC 20017
7239 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (202) 529-0021
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Riverdale, MD
- NPI 1871041764
-
- Urology Physician
- Greenbelt, MD
- NPI 1275544363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299024000000",
"number": "1194023077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE",
"address_2": "SUITE 106",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172107",
"telephone_number": "202-529-0021",
"fax_number": "202-529-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE",
"address_2": "SUITE 106",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172107",
"telephone_number": "202-529-0021",
"fax_number": "202-529-5548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IBE MEDICAL ASSOCIATE PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A",
"authorized_official_last_name": "IBE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "IKECHUKWU",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "202-529-0021",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MEDICAL DOCTOR"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "DC",
"license": "MD30564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.