Ifeoma Tamara Ogbonna, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S0347 Issued in TX

Practice address

402 W Wheatland Rd Ste 140
Duncanville, TX 75116-4628

Phone

(972) 503-4109

NPI assigned

May 13, 2015

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA, TN, DC, MS5 enrollments

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 5

Specialty

Preventive Medicine

Education

University of Texas Medical Branch at Galveston, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Occupational Medical ServicesGroup PAC ID 4284019332, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Texas Occupational Medical Services

  • Occupational Medicine Physician
  • Irving, TX
  • NPI 1073250650

  CA, DC, Family Medicine, MS, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1508824038
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Rehabilitation Hospital Unit
  • Longview, TX
  • NPI 1699733097
  NPD
• Pec Medical Consulting, PLLC

  • Adult Medicine Physician
  • Duncanville, TX
  • NPI 1508574369
  NPD
• Cardinal Support LLC

  dba Ease Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1699312314
  NPD

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1235517087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SIMS DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047711",
            "telephone_number": "469-777-0778",
            "fax_number": "615-327-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W WHEATLAND RD STE 140",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164628",
            "telephone_number": "972-503-4109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Dr. D.B. Todd, Jr. Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37208",
            "country_code": "US",
            "telephone_number": "615-327-6277",
            "fax_number": "615-327-6783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBONNA",
        "first_name": "IFEOMA",
        "middle_name": "TAMARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S0347",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "56886",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "S0347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Joyce Obrien, LOTA
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Tiffany Marie Odgers
• Ethelbert Onuefi Odo, NP-C
• Augustina Oluchi Ogbonna, NURSE PRACTITIONER
• Kenneth Ogbonna, PMHNP-BC
• Latoya Nicole Ogidan, LCSW
• Ohana Ministries, Inc
• Stanley Okeke, DPT
• Emmanuel Adebo Olabode

• Family Medicine Physician in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.