Individual provider Active NPI

Chukwuemeka I Ibekwe, MD

  • Physical Medicine & Rehabilitation Physician
  • Katy, TX
National Provider Identifier
1265707582
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
075313 Issued in GA
Practice address
21720 Kingsland Blvd
2ND Floor Administration
Katy, TX 77450-2550
Phone
(713) 500-5874
Fax
(281) 579-5601
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 075313 GA Primary

Addresses

Primary practice location

21720 Kingsland Blvd
2ND Floor Administration
Katy, TX 77450-2550

Mailing address

920 Medical Plaza Dr Ste 340
Shenandoah, TX 77380-3256
Phone (713) 897-4909

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
I20181005002772 TX Practitioner - Physical Medicine and Rehabilitation 8628373347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

920 Medical Plaza Dr
Suite 270
Shenandoah, TX 77380-3259
Phone (713) 486-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075313GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 5, 2018 Accepting new patients
Ut Physicians CurrentSince Sep 5, 2018 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
#550A
Houston, TX 77030

21720 Kingsland Blvd
Fl 2
Katy, TX 77450
Phone (713) 500-5874

920 Medical Plaza Dr
Ste 270
Shenandoah, TX 77380
Phone (713) 897-2450

920 Medical Plaza Dr
Ste 340
Shenandoah, TX 77380
Phone (713) 897-2371

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

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 4

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1265707582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 340",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803256",
            "telephone_number": "713-897-4909",
            "fax_number": "713-897-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 KINGSLAND BLVD",
            "address_2": "2ND FLOOR ADMINISTRATION",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502550",
            "telephone_number": "713-500-5874",
            "fax_number": "281-579-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEKWE",
        "first_name": "CHUKWUEMEKA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "075313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.