Joseph C Ikekwere, M.D, MPH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

T1395 Issued in TX

Practice address

3101 S Austin Ave
Georgetown, TX 78626-7541

Phone

(512) 621-4547

Fax

(312) 729-6582

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IL2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Psychiatric ServicesGroup PAC ID 9335522218, 8 clinicians

Axis Community Health IncGroup PAC ID 7012975071, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southwest Psychiatric Services

  • Psychiatry Physician
  • Georgetown, TX
  • NPI 1174297303
  Medicare reassignment Care Compare group NPD
• MCCD FL Psychiatry Services PA

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457

  IL, TX

  Medicare reassignment
• MCCD Psychiatry Services PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823

  IL, TX

  Medicare reassignment
• Georgetown Behavioral Health Institute, LLC

  • Psychiatric Hospital
  • Georgetown, TX
  • NPI 1275956807
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676160000000",
    "number": "1568859635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4088",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786304088",
            "telephone_number": "512-621-4547",
            "fax_number": "312-957-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S AUSTIN AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267541",
            "telephone_number": "512-621-4547",
            "fax_number": "312-729-6582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "McWherter Hall, VA Bldg 52",
            "address_2": "Psychiatry Residency Program, Box 70567,ETSU, Quillen C",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37614",
            "country_code": "US",
            "telephone_number": "423-439-2225",
            "fax_number": "423-439-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEKWERE",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D,  MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "IL",
            "license": "036.152582",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301114201",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.