NPIMap

Individual provider Active NPI

Will Ibanga, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1679927990
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3400 Issued in TX
Practice address
6850 Highway 6 S Ste 121-B
Houston, TX 77083-3302
Phone
(832) 694-0094
Fax
(281) 506-8928
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3400 TX Primary

Addresses

Primary practice location

6850 Highway 6 S Ste 121-B
Houston, TX 77083-3302

Mailing address

6850 Highway 6 S Ste 121-B
Houston, TX 77083-3302
Phone (832) 694-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025002571 TX Practitioner - Family Practice 4082946900 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Houston in Patient Physician Associates PLLCGroup PAC ID 5698951168, 27 clinicians

Practice addresses (Care Compare)

1 Medical Plaza
Pampa, TX 79065-2819
Phone (806) 665-3721

4645 Sweetwater Blvd
Suite 200
Sugar Land, TX 77479-3016
Phone (713) 777-5334

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3400TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Specialty Services Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Renom Medical PLLC Family Medicine CurrentSince Mar 11, 2022 Accepting new patients
Starz Healthcare LLC CurrentSince Oct 1, 2025 Accepting new patients
Concord Medical Group PLLC Current Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 1, 2024 Accepting new patients
Houston in Patient Physician Associates PLLC CurrentSince Jan 24, 2025 Accepting new patients
HWC-Providers, PLLC CurrentSince Mar 16, 2024 Accepting new patients
Citizens Medical Center County of Victoria PastSince Mar 16, 2024 Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

208 N Texana St
Ste B
Hallettsville, TX 77964
Phone (314) 303-9484

208 N Texana St
Ste A
Hallettsville, TX 77964
Phone (314) 303-9484

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

11452 Space Center Blvd
Houston, TX 77059
Phone (713) 486-6200

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

6850 Highway 6 S
Ste 121B
Houston, TX 77083
Phone (832) 557-9060

2944 Motley Dr
Ste 314
Mesquite, TX 75150
Phone (214) 315-5255

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: will.ibanga.1@31199.direct.athenahealth.com

Organizations & group practices 9

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1679927990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 HIGHWAY 6 S STE 121-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833302",
            "telephone_number": "832-694-0094",
            "fax_number": "281-506-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 HIGHWAY 6 S STE 121-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833302",
            "telephone_number": "832-694-0094",
            "fax_number": "281-506-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBANGA",
        "first_name": "WILL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.