Individual provider Active NPI

Kingsley George Iheme, FNP

  • Infectious Disease Physician
  • Harlingen, TX
National Provider Identifier
1396370003
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
AP145205 Issued in TX
Practice address
1806 Runnels St
Harlingen, TX 78550-8288
Phone
(956) 230-3181
Fax
(956) 230-3182
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X AP145205 TX Primary

Addresses

Primary practice location

1806 Runnels St
Harlingen, TX 78550-8288

Mailing address

7076 Post Oak Cir
Brownsville, TX 78526-3065
Phone (832) 457-1417

Other practice location 1

110 Uptown Ave Ste B
Brownsville, TX 78520-7563
Phone (956) 525-7817

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200430002341 TX Practitioner - Nurse Practitioner 4082782990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goodfaith Medical-Emmanuel Akinyemi MD-PA Infectious Disease CurrentSince Mar 16, 2020 Accepting new patients
Brownsville Infectious Disease PA Infectious Disease PastSince May 28, 2016 Accepting new patients

Locations

1806 Runnels St
Harlingen, TX 78550
Phone (956) 230-3181

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1396370003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7076 POST OAK CIR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263065",
            "telephone_number": "832-457-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 RUNNELS ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508288",
            "telephone_number": "956-230-3181",
            "fax_number": "956-230-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Uptown Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785207563",
            "country_code": "US",
            "telephone_number": "956-525-7817",
            "fax_number": "956-525-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IHEME",
        "first_name": "KINGSLEY",
        "middle_name": "GEORGE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "AP145205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.