Individual provider Active NPI

Anthony I. Ibe, M.D.

  • Adult Medicine Physician
  • Greenbelt, MD
National Provider Identifier
1356562839
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD30564 Issued in DC
Practice address
7239 Hanover Pkwy
Greenbelt, MD 20770-3603
Phone
(240) 391-6925
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MD30564 DC Primary

Addresses

Primary practice location

7239 Hanover Pkwy
Greenbelt, MD 20770-3603

Mailing address

1160 Varnum St NE
Suite 106
Washington, DC 20017-2107
Phone (202) 529-0021

Other practice location 1

1160 Varnum St NE
Suite 106
Washington, DC 20017-2107
Phone (202) 529-0021

Other identifiers 1

IdentifierTypeStateIssuer
027103600MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110328000838 DC Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7315120334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7239 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3603
Phone (240) 391-6925

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Howard University Hospital Corp Hospital, Washington, DC, CCN 090003
  • Deanwood Rehabilitation and Wellness Center Nursing home, Washington, DC, CCN 095019
  • Stoddard Baptist Nursing Home Nursing home, Washington, DC, CCN 095020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ibe Medical Associates PC CurrentSince Nov 1, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Stoddard Baptist Home Past Accepting new patients
Grant Park SNF, LLC Past Accepting new patients

Locations

1160 Varnum St NE
Ste 106
Washington, DC 20017
Phone (202) 269-7789

7239 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (202) 529-0021

Interoperability endpoints

  • Direct secure messaging: anthony.ibe@ibemedassociates.ehi.direct-ci.com

Organizations & group practices 5

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1356562839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "SUITE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-529-0021",
            "fax_number": "202-529-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7239 HANOVER PKWY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703603",
            "telephone_number": "240-391-6925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Varnum St NE",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200172107",
            "country_code": "US",
            "telephone_number": "202-529-0021",
            "fax_number": "202-529-5548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBE",
        "first_name": "ANTHONY",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "DC",
            "license": "MD30564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027103600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.