Individual provider Active NPI

Ebone Iyegbu

  • Family Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1700257094
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128987 Issued in TX
Practice address
2900 Broadway St
Pearland, TX 77581-4507
Phone
(866) 389-2727
NPI assigned
Oct 12, 2015
Last updated
Oct 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128987 TX Primary

Addresses

Primary practice location

2900 Broadway St
Pearland, TX 77581-4507

Mailing address

2900 Broadway St
Pearland, TX 77581-4507
Phone (866) 389-2727

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208001393 TX Practitioner - Nurse Practitioner 6507160843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2469 Bay Area Blvd
Houston, TX 77058-1519
Phone (866) 389-2727

2900 Broadway St
Pearland, TX 77581-4507
Phone (866) 389-2727

3103 N Fry Rd
Katy, TX 77449-6218
Phone (866) 389-2727

3505 Ctr St
Deer Park, TX 77536-5078
Phone (866) 389-2727

5002 W Main St
League City, TX 77573-1694
Phone (866) 389-2727

9522 Broadway St
Pearland, TX 77584-7724
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
79.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Dec 29, 2015 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Aug 23, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Dec 29, 2015 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400

9522 Broadway St
Pearland, TX 77584
Phone 7134368151 ext. 8221

1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 247-4333

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1700257094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814507",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814507",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYEGBU",
        "first_name": "EBONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.