Individual provider Active NPI

Irene Gek-Hia Irby, NP

  • Critical Care Medicine Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1477792604
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
R202633 Issued in MD
Practice address
108 Forbes St
Second Floor
Annapolis, MD 21401-1502
Phone
(410) 571-7880
Fax
(410) 571-0362
NPI assigned
Feb 11, 2009
Last updated
Oct 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X R202633 MD Primary
Critical Care Medicine Nurse Practitioner 363LC0200X R762005 MS

Addresses

Primary practice location

108 Forbes St
Second Floor
Annapolis, MD 21401-1502

Mailing address

PO Box 64131
Baltimore, MD 21264-4131
Phone (410) 571-7800

Other identifiers 1

IdentifierTypeStateIssuer
544102100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150615000666 MD Practitioner - Nurse Practitioner 4789812579 Reassigns benefits to 1 organization
I20171031000412 DC Practitioner - Nurse Practitioner 4789812579 Reassigns benefits to 1 organization
I20220303001447 AZ Practitioner - Nurse Practitioner 4789812579 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R762005MSMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
East Valley Diabetes & Endocrinology PLC CurrentSince Feb 16, 2022 Accepting new patients
East Valley Diabetes & Endocrinology PLC CurrentSince Feb 16, 2022 Accepting new patients

Locations

4100 S Lindsay Rd
Ste 130
Gilbert, AZ 85297
Phone (480) 728-9531

2474 E Hunt Hwy
Ste 110
San Tan Valley, AZ 85143
Phone (480) 782-9531

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

13900 Baltimore Ave
Laurel, MD 20707
Phone (301) 277-3331

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1477792604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64131",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644131",
            "telephone_number": "410-571-7800",
            "fax_number": "410-471-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FORBES ST",
            "address_2": "SECOND FLOOR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011502",
            "telephone_number": "410-571-7880",
            "fax_number": "410-571-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRBY",
        "first_name": "IRENE",
        "middle_name": "GEK-HIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MD",
            "license": "R202633",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MS",
            "license": "R762005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544102100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.