Individual provider Active NPI

Ikechukwu Eric Ibegbu, MD

  • Gastroenterology Physician
  • Jacksonville, NC
National Provider Identifier
1639154248
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
200401229 Issued in NC
Practice address
4 Josh Court
Jacksonville, NC 28546-5253
Phone
(910) 577-3636
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 200401229 NC Primary

Addresses

Primary practice location

4 Josh Court
Jacksonville, NC 28546-5253

Mailing address

4 Josh CT
Jacksonville, NC 28546-0052
Phone (910) 577-3636

Other identifiers 2

IdentifierTypeStateIssuer
5900314MedicaidNC
P00310404OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050601000077 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 6002858099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Medical GroupGroup PAC ID 4789713108, 5 clinicians

Practice addresses (Care Compare)

2541 N Queen St
Kinston, NC 28501-1632
Phone (252) 527-3636

Hospital & facility affiliations

  • Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027
  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy230
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200401229NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Medical Group PC Gastroenterology CurrentSince May 1, 2010 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 24, 2015 Accepting new patients
Atlantic Medical Group PC Gastroenterology CurrentSince May 1, 2010 Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients

Locations

332 S York St
Gastonia, NC 28052
Phone (252) 527-3636

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

4 Josh Ct
Jacksonville, NC 28546
Phone (252) 527-3636

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

2541 N Queen St
Kinston, NC 28501
Phone (252) 527-3636

313 Airport Rd
Kinston, NC 28504
Phone (252) 559-2200

701 Doctors Dr
Ste N
Kinston, NC 28501
Phone (252) 559-2200

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1639154248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JOSH CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460052",
            "telephone_number": "910-577-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JOSH COURT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465253",
            "telephone_number": "910-577-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEGBU",
        "first_name": "IKECHUKWU",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200401229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900314",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00310404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.