NPIMap

Individual provider Active NPI

Michael C Ibe, M.D.

  • Interventional Cardiology Physician
  • Granbury, TX
National Provider Identifier
1215291026
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
U3414 Issued in TX
Practice address
1310B Paluxy Road
Suite 1400
Granbury, TX 76048-5655
Phone
(817) 579-3970
Fax
(817) 579-3969
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X U3414 TX
Interventional Cardiology Physician 207RI0011X U3414 TX Primary

Addresses

Primary practice location

1310B Paluxy Road
Suite 1400
Granbury, TX 76048-5655

Mailing address

1310B Paluxy Road
Suite 1400
Granbury, TX 76048-5655
Phone (817) 579-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160223000991 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254570856 Reassigns benefits to 1 organization
I20230726001464 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1254570856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1310 B Paluxy Rd
Suite 3000
Granbury, TX 76048-5655
Phone (817) 579-3906

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting96
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Jul 24, 2023 Accepting new patients
Hood Medical Group Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients
Hood Medical Group CurrentSince Sep 16, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Jul 24, 2023 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Cardiovascular Associates of San Antonio, PA Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients
SFH Columbus Cardiology, LLC Cardiovascular Disease PastSince Sep 1, 2014 Accepting new patients

Locations

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1310 Paluxy Rd
Ste 3000
Granbury, TX 76048
Phone (817) 578-3910

1310 Paluxy Rd
Ste 1400
Granbury, TX 76048
Phone (817) 579-3970

1123 N Main Ave
Ste 110
San Antonio, TX 78212

3303 Rogers Rd
Ste 200
San Antonio, TX 78251
Phone (210) 920-8000

Interoperability endpoints

  • Direct secure messaging: michael.ibe.1@1293.direct.athenahealth.com

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 6

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1215291026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310B PALUXY ROAD",
            "address_2": "SUITE 1400",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-579-3970",
            "fax_number": "817-579-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310B PALUXY ROAD",
            "address_2": "SUITE 1400",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-579-3970",
            "fax_number": "817-579-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "U3414",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "U3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.