Organization Active NPI

Ibe PC

  • Family Medicine Physician
  • Largo, MD
National Provider Identifier
1275136475
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IBE PC
Practice address
9500 Medical Center Dr Ste 105
Largo, MD 20774-3703
Phone
(301) 615-4133
Fax
(240) 245-2918
NPI assigned
Nov 19, 2020
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Dr. Uloma Ibe, MDNPI 1649667940
Title
Owner
Phone
(202) 704-3010

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

9500 Medical Center Dr Ste 105
Largo, MD 20774-3703

Mailing address

9500 Medical Center Dr Ste 105
Largo, MD 20774-3703
Phone (301) 615-4133

National Provider Directory

National Provider Directory

Locations

12200 Annapolis Rd
Ste 228
Glenn Dale, MD 20769
Phone (301) 352-7118

9500 Medical Center Dr
Ste 105
Upper Marlboro, MD 20774
Phone (202) 220-8929

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1275136475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 105",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743703",
            "telephone_number": "301-615-4133",
            "fax_number": "240-245-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 105",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743703",
            "telephone_number": "301-615-4133",
            "fax_number": "240-245-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "IBE",
        "authorized_official_first_name": "ULOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-704-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.