Ruby Amaku Ibekwe, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L10582R Issued in LA

Practice address

3923 Convention Street
Baton Rouge, LA 70806

Phone

(225) 381-6474

Fax

(225) 336-2958

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in LA

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12080/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deekay Medical

  • Primary Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1023326279
  NPD (past) Authorized official
• Acadia Healthcare Services LLC

  • Family Medicine Physician
  • Church Point, LA
  • NPI 1376542506
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427129766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67054",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70896",
            "telephone_number": "225-381-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 CONVENTION STREET",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-381-6474",
            "fax_number": "225-336-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEKWE",
        "first_name": "RUBY",
        "middle_name": "AMAKU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "L10582R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1988839",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• I-Got Smart Enterprise LLC
• I-Leead (Deaf Focus)
• I-Leead Dba Deaf Focus
• I.C.S Transportation Service LLC
• I'LL Take You There Transportation, LLC
• Iberia Bone Joint & Foot Clinic AMC
• Iberville Horizon, LLC
• Ibl Special Care Management Services
• Ibl Special Care Management Services
• Ibl Special Care Management Services

• Family Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.