Ikenna Adugba, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K6978 Issued in TX

Practice address

2185 Brinker Rd
Denton, TX 76208-6986

Phone

(940) 384-1809

Fax

(940) 384-7744

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• First Care Medical Center

  • Internal Medicine Physician
  • Denton, TX
  • NPI 1538213517
  NPD (past) Authorized official
• East Texas Medical Center Healthcare Associates

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1295761799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 BRINKER RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086986",
            "telephone_number": "940-384-1809",
            "fax_number": "940-384-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 BRINKER RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086986",
            "telephone_number": "940-384-1809",
            "fax_number": "940-384-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUGBA",
        "first_name": "IKENNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161797901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131165611",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rukayat Ade-Jamiu, RN
• Thompson Aderemi
• Adjacent Health Care Services
• Laurie Ann Adkins, LPC
• Robert C Admire, M.D.
• Advanced Toxicology
• Advocate Alliance of Texas, L.L.C.
• Aer Inc
• Affinity Home Health, L. L. C.
• Affordable Dentist Near Me of Denton PLLC

• Internal Medicine Physician in Denton, TX
• Providers in Denton, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.