Individual provider Active NPI

Ekene Iloabachie, MD

  • Otolaryngology Physician
  • Forney, TX
National Provider Identifier
1194776708
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
N2123 Issued in TX
Practice address
763 E US Highway 80 Ste 230
Forney, TX 75126-8682
Phone
(945) 316-9356
Fax
(945) 316-9357
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X N2123 TX Primary

Addresses

Primary practice location

763 E US Highway 80 Ste 230
Forney, TX 75126-8682

Mailing address

763 E US Highway 80 Ste 230
Forney, TX 75126-8682
Phone (945) 316-9356

Other names 1

  • Dr. Kenny Iloabachie Other name

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
I20090625000619 TX Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 5092727107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monty V. Trimble , MD, P.aGroup PAC ID 7517046451, 6 clinicians

Practice addresses (Care Compare)

3455 Locke Ave
Fort Worth, TX 76107-5719
Phone (817) 529-6200

Hospital & facility affiliations

  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Allergy ENT LLP CurrentSince Aug 6, 2017 Accepting new patients
Monty V. Trimble , MD, P.a Past Accepting new patients

Locations

763 E US Highway 80
Ste 230
Forney, TX 75126
Phone (945) 316-9356

1005 W Ralph Hall Pkwy
Ste 107
Rockwall, TX 75032
Phone (469) 769-1961

1320 Summer Lee Dr
Rockwall, TX 75032
Phone (972) 771-5443

2300 W FM 544
Ste 200
Wylie, TX 75098
Phone (972) 771-5443

Organizations & group practices 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1194776708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 E US HIGHWAY 80 STE 230",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268682",
            "telephone_number": "945-316-9356",
            "fax_number": "945-316-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 E US HIGHWAY 80 STE 230",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268682",
            "telephone_number": "945-316-9356",
            "fax_number": "945-316-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILOABACHIE",
        "first_name": "EKENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "N2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNY",
            "last_name": "ILOABACHIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.