Ilacone Group Incorporated

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

P4322 Issued in TX

Legal business name

ILACONE GROUP INCORPORATED

Practice address

2121 Business Center Dr
Pearland, TX 77584-2153

Phone

(346) 907-3000

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Roger G Joe, MD, MBA

Title

President

Phone

(832) 345-8141

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Del Rio, APRN-BC

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1669995320
  NPD (past)

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1295076552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1537",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774871537",
            "telephone_number": "346-200-5909",
            "fax_number": "346-200-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BUSINESS CENTER DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842153",
            "telephone_number": "346-907-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693307",
            "country_code": "US",
            "telephone_number": "346-971-4001",
            "fax_number": "346-971-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILACONE GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-345-8141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P4322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12474223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Boluwatife Idehen, MD
• Oluwakemi Idowu
• Eberenne F Igbokwe, D.O.
• Judith Ihediwa
• Nurfaidja Jilhano Ijiran, PT
• Joseph Bryan Ilustre, D.D.S
• Imagine Faith Believe LLC
• Imagine Faith Believe LLC
• Imed Consultants PLLC
• Immaculate Home Health, Inc

• All providers in Pearland, TX
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.