Individual provider Active NPI

Ibidunni Omolayo Ukegbu, MD

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1447213194
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3859 Issued in TX
Practice address
3506 21St St Ste 401
Lubbock, TX 79410-1200
Phone
(469) 257-3500
Fax
(806) 723-7137
NPI assigned
Apr 11, 2006
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3859 TX Primary

Addresses

Primary practice location

3506 21St St Ste 401
Lubbock, TX 79410-1200

Mailing address

2727 Bolton Boone Dr Ste 103
Desoto, TX 75115-2019
Phone (469) 257-3500

Other identifiers 1

IdentifierTypeStateIssuer
159628003MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000544 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 5991772451 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2727 Bolton Boone Dr
Suite 101
Desoto, TX 75115-2019
Phone (469) 453-2008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3859TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Oct 1, 2012 Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Feb 21, 2011 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Apr 8, 2012 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jun 12, 2014 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Current Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince Dec 1, 2009 Accepting new patients
Wellness & Care Group of Texas, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jan 28, 2014 Accepting new patients
Hospital Medicine Associates of TX PA Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Feb 21, 2011 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 1, 2012 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 12, 2014 Accepting new patients
Ibidunni O Ukegbu PA Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
GS Physician Services Internal Medicine Past Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Past Accepting new patients
Texas Em-I Medical Services, PA Internal Medicine Past Accepting new patients
Canadian River Emergency Physicians PLLC Past Accepting new patients
Weiguo Zhou, MD, PA Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations (25 of 34)

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2800 State Highway 24
Commerce, TX 75428
Phone (903) 866-3161

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

8067 W Virginia Dr
#101
Dallas, TX 75237
Phone (469) 453-2008

2727 Bolton Boone Dr
Ste 101
Desoto, TX 75115
Phone (469) 453-2008

2727 Bolton Boone Dr
Ste 103
Desoto, TX 75115
Phone (972) 296-7200

1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1004 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 677-1300

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

21175 Tomball Pkwy
Houston, TX 77070
Phone (281) 251-5544

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

Interoperability endpoints

  • Direct secure messaging: ibidunni_ukegbu_-_md@yourcarecommunity.org

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1447213194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "469-257-3500",
            "fax_number": "469-449-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 21ST ST STE 401",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101200",
            "telephone_number": "469-257-3500",
            "fax_number": "806-723-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKEGBU",
        "first_name": "IBIDUNNI",
        "middle_name": "OMOLAYO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159628003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.