Nicholas Ibanez, M.D.

Key facts

NPI

1700310091

Entity type

Individual (NPI type 1)

Primary specialty

Critical Care Medicine (Internal Medicine) Physician 207RC0200X

License

U3546 (TX)

Practice address

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312

Phone

(214) 960-5681

NPI assigned

Apr 13, 2017

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

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.

• Dallas Pulmonary & Critical Care PA Critical Care Medicine (Internal Medicine) Physician · Dallas, TX · NPI 1235402728
  Medicare reassignment Care Compare group NPD CRITICAL CARE MEDICINE · TX

Hospital & facility affiliations 5

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

• Columbia Medical Center of Plano Subsidiary LP General Acute Care Hospital · Plano, TX · NPI 1699726406
  Care Compare affiliation Hospital
• Lake Pointe Operating Company, LLC General Acute Care Hospital · Rowlett, TX · NPI 1205018439
  Care Compare affiliation Hospital
• Methodist Hospitals of Dallas General Acute Care Hospital · Dallas, TX · NPI 1275592131
  Care Compare affiliation Hospital
• Texas Health Harris Methodist Hospital Hurst-Euless-Bedford General Acute Care Hospital · Bedford, TX · NPI 1104845015
  Care Compare affiliation Hospital
• Texas Health Presbyterian Hospital Denton General Acute Care Hospital · Denton, TX · NPI 1003883158
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Pulmonary Disease

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas Pulmonary and Critical Care PA (186 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Lake Pointe Hospital · Rowlett, TX · CCN 450742
• Methodist Charlton Medical Center Hospital · Dallas, TX · CCN 450723
• Medical City Plano Hospital · Plano, TX · CCN 450651
• Texas Health Harris Methodist Hurst-Euless-Bedford Hospital · Bedford, TX · CCN 450639
• Texas Health Presbyterian Hospital Denton Hospital · Denton, TX · CCN 450743

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2024.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1700310091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082312",
            "telephone_number": "214-960-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082312",
            "telephone_number": "214-960-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_2": "Slot 634",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-5162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBANEZ",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "U3546",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "U3546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Dallas, TX · Critical Care Medicine (Internal Medicine) Physician in Texas