Active NPI
John Okechuckwu Ike, M.D.
- Nephrology Physician
- Houston, TX
National Provider Identifier
1649356197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- J7524
- Practice address
- 7500 Beechnut St
Suite # 152
Houston, TX 77074-4335 - Phone
- (713) 777-2790
- Fax
- (713) 777-2405
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | J7524 | TX | Primary |
Addresses
Primary practice location
7500 Beechnut St
Suite # 152
Houston, TX 77074-4335
Mailing address
7500 Beechnut St
Suite # 152
Houston, TX 77074-4335
Phone (713) 777-2790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139822420 | Medicaid | TX |
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
- Nephrology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7737 Beechnut St
Suite 201
Houston, TX 77074-3101
Phone (713) 777-2790
Hospital & facility affiliations
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John O. Ike MD, MPH, PA | Current | Accepting new patients | |
| First Choice Home Dialysis LLC | Current | Accepting new patients | |
| Elik Dialysis Home Therapy - Memorial II LLC | Current | Accepting new patients |
Locations
7500 Beechnut St
Ste 152
Houston, TX 77074
Phone (713) 777-2790
7737 Beechnut St
Ste 201
Houston, TX 77074
Phone (713) 777-2790
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.
-
- Medical Specialty Clinic/Center
- Houston, TX
- NPI 1922372523
-
- Home Health Agency
- Houston, TX
- NPI 1417474156
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
- NPI 1760908297
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1649356197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 BEECHNUT ST",
"address_2": "SUITE # 152",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770744335",
"telephone_number": "713-777-2790",
"fax_number": "713-777-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 BEECHNUT ST",
"address_2": "SUITE # 152",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770744335",
"telephone_number": "713-777-2790",
"fax_number": "713-777-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKE",
"first_name": "JOHN",
"middle_name": "OKECHUCKWU",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "J7524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139822420",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.