Ifeanyi Mbadugha, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P2492 Issued in TX

Practice address

1003 N Saint Marys St
Beeville, TX 78102-3420

Phone

(361) 492-5252

Fax

(361) 492-5599

NPI assigned

May 14, 2012

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Children'S Physician Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227
  Medicare reassignment
• Careville Pediatrics, PA

  • Pediatrics Physician
  • Beeville, TX
  • NPI 1760879670
  NPD (past) Authorized official
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1336408293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N SAINT MARYS ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781023420",
            "telephone_number": "361-492-5252",
            "fax_number": "361-492-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N SAINT MARYS ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781023420",
            "telephone_number": "361-492-5252",
            "fax_number": "361-492-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBADUGHA",
        "first_name": "IFEANYI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanissa Wagner Martinez, D.D.S.
• Brenda Mata
• Keith Mattocks, PHARM D
• Maverick County Hospital District
• Jacob Mayuski
• Jennifer Lee McFall, RN
• Sally McLaughlin, DDS
• Menager Family Clinic LLC
• Avrian Mendez, PA-C
• Bobbie Jo Meyer, D.D.S.

• Pediatrics Physician in Beeville, TX
• Providers in Beeville, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.