Active NPI
Ifeoma Aduba, M.D
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R2516
- Practice address
- 3600 Gaston Ave Ste 550
Dallas, TX 75246-1905 - Phone
- (469) 800-7974
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10049303 | TX | |
| Internal Medicine Physician | 207R00000X | R2516 | TX | Primary |
Addresses
Primary practice location
3600 Gaston Ave Ste 550
Dallas, TX 75246-1905
Mailing address
3600 Gaston Ave Ste 550
Dallas, TX 75246-1905
Other practice location 1
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 358-3000
Other practice location 2
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 358-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iaduba299323@direct.sw.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550
4001 Worth St
Dallas, TX 75246-1608
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Centennial
- Baylor Scott & White Medical Center - Frisco
- Baylor Scott & White the Heart Hospital Plano
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10049303 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Baylor Scott & White Medical Center - Centennial | Past | Accepting new patients |
Locations
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
3600 Gaston Ave
Ste 558
Dallas, TX 75246
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3600 Gaston Ave
Ste 550
Dallas, TX 75246
Phone (214) 821-1177
12505 Lebanon Rd
Ste 1442
Frisco, TX 75035
Phone (972) 963-3550
700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1801826839
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1801826839
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1922002674
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1578983003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 GASTON AVE STE 550",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GASTON AVE STE 550",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461905",
"telephone_number": "469-800-7974"
}
],
"practiceLocations": [
{
"address_1": "7703 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293901",
"country_code": "US",
"telephone_number": "210-358-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7703 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293901",
"country_code": "US",
"telephone_number": "210-358-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADUBA",
"first_name": "IFEOMA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10049303",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "R2516",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iaduba299323@direct.sw.org",
"affiliation": "N",
"address_1": "12505 Lebanon Rd Ste 1442",
"city": "Frisco",
"state": "TX",
"country_code": "US",
"postal_code": "750358298",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.