Individual provider Active NPI

Ikenna Ikechukwu Ihim, MD

  • Internal Medicine Physician
  • Prince Frederick, MD
National Provider Identifier
1679955066
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D090405 Issued in MD
Practice address
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone
(410) 535-4000
NPI assigned
Jun 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018-02331 NC
Hospitalist Physician 208M00000X 87858 SC
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 2018-02331 NC
Hospitalist Physician 208M00000X D090405 MD
Internal Medicine Physician 207R00000X D090405 MD Primary

Addresses

Primary practice location

100 Hospital Rd
Prince Frederick, MD 20678-4017

Mailing address

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-3000

Other practice location 1

14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896
Phone (803) 434-6771

Other practice location 2

601 N Elm St
High Point, NC 27262-4331
Phone (336) 878-6000

Other identifiers 1

IdentifierTypeStateIssuer
2018-02331OtherNCNC MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, MD, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20181126000385 NC Practitioner - HospitalistPractitioner - Internal Medicine 9234483538 Reassigns benefits to 2 organizations
I20201210001275 DC Practitioner - Internal Medicine 9234483538 Reassigns benefits to 4 organizations
I20210713003738 MD Practitioner - Internal MedicinePractitioner - Hospitalist 9234483538 Reassigns benefits to 9 organizations
I20220713003440 SC Practitioner - Hospitalist 9234483538

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mdics at Calvert LLCGroup PAC ID 6406017425, 26 clinicians
Mdics at Anne Arundel LLCGroup PAC ID 1456515519, 32 clinicians
Mdics at Umroi, LLCGroup PAC ID 9638478019, 22 clinicians
Mdics at Civista LLCGroup PAC ID 8325200793, 35 clinicians
Adfinitas Health at Upper Chesapeake LLCGroup PAC ID 6305202540, 77 clinicians
Adfinitas Health at Upper Chesapeake Aberdeen LLCGroup PAC ID 8022475581, 44 clinicians
Adfinitas Health at Umcap LLCGroup PAC ID 0840677738, 53 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Prince Frederick, MD 20678-4016
Phone (410) 535-4000

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

2200 Kernan Dr
Gwynn Oak, MD 21207-6665
Phone (443) 949-0814

5 Garrett Ave
La Plata, MD 20646-5960
Phone (443) 949-0814

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

660 McHenry Rd
Aberdeen, MD 21001-2682
Phone (443) 843-5000

901 Harry S Truman Dr
Largo, MD 20774-5477
Phone (240) 677-1000

904 Commerce Rd
Annapolis, MD 21401-2948
Phone (410) 849-6140

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003
  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D090405MDMDInternal Medicine Physician
2018-02331NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 1, 2023 Accepting new patients
Mdics at Umroi, LLC Hospitalist CurrentSince Sep 1, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince May 2, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Aberdeen LLC Hospitalist CurrentSince Dec 15, 2023 Accepting new patients
Mdics at Civista LLC Hospitalist CurrentSince Mar 19, 2024 Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist CurrentSince May 2, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince May 2, 2022 Accepting new patients
Adfinitas Health at Umcap, LLC Hospitalist CurrentSince Dec 1, 2025 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Dec 15, 2020 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 16, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 15, 2020 Accepting new patients
Cumberland County Hospital System Inc Internal Medicine CurrentSince Sep 16, 2018 Accepting new patients
Mdics at Anne Arundel LLC Hospitalist CurrentSince Dec 1, 2025 Accepting new patients
Mdics at Calvert LLC Hospitalist CurrentSince Dec 15, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake, LLC Hospitalist CurrentSince Dec 15, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Harford Memorial LLC Hospitalist CurrentSince Dec 15, 2023 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine Current Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Calverthealth Medical Center, Inc. Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

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

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

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: iihim10166@capefearvalley.direct-ci.com
  • Direct secure messaging: iihim1092583@direct.umm.edu

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1679955066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-535-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Richland Medical Park Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036896",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "fax_number": "803-434-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624331",
            "country_code": "US",
            "telephone_number": "336-878-6000",
            "fax_number": "336-716-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IHIM",
        "first_name": "IKENNA",
        "middle_name": "IKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-02331",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "87858",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2018-02331",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D090405",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D090405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "2018-02331",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.