Ginikachukwu Ibezim, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

V1490 Issued in TX

Practice address

11714 Wilson Parke Ave Ste 150
Austin, TX 78726

Phone

(512) 346-6611

NPI assigned

Jun 2, 2021

Last updated

Jan 24, 2025By 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

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

Specialty

Family Practice

Education

University of Missouri, Kansas City, School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gibezim34907@arcmd.direct-ci.com
• Direct secure messaging: ginikachukwu.ibezim.1@8363.direct.athenahealth.com

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.

• Austin Regional Clinic, PA

  • Family Medicine Physician
  • Austin, TX
  • NPI 1821157579
  Medicare reassignment Care Compare group NPD
• Ipc Healthcare Services of Texas, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1023403011
  Medicare reassignment NPD
• Lonestar Pat Associates PA

  • Hospitalist Physician
  • Round Rock, TX
  • NPI 1811594203

  Family Medicine

  Medicare reassignment NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Family Medicine

  Medicare reassignment NPD
• Austin Regional Clinic, PA

  dba ARC- Center Street

  • Durable Medical Equipment & Medical Supplies
  • Kyle, TX
  • NPI 1235746413
  NPD
• Seton Family of Doctors

  dba One Medical Group of Texas

  • Family Medicine Physician
  • Austin, TX
  • NPI 1225644065
  NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1578139325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-483-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11714 WILSON PARKE AVE STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78726",
            "telephone_number": "512-346-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 W University Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786285355",
            "country_code": "US",
            "telephone_number": "512-691-6519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBEZIM",
        "first_name": "GINIKACHUKWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V1490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Ibarra
• Javier Ibarra
• Jesus Rolando Ibarra, PA-C
• Johnathan Ibarra
• Pamela Ibarra
• Najma Ahmed Ibrahim
• Nibras Elfatih Abd Elmagied Ibrahim
• Ibth Dental PLLC/Krommenhoek and Hanle, D.D.S (Dr. Dallas Krommenhoek DDS and Dr. Arlen J Hanle DDS)
• Icb Enterprises Corporation (Homewatch Caregivers of Southwest Austin)
• Laura P Ichon

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.