Active NPI
Ashley Ifunanya Ike, MD
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1790480507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 79543
- Practice address
- 350 W Thomas Rd
Phoenix, AZ 85013-4496 - Phone
- (602) 406-3000
- NPI assigned
- Apr 3, 2023
- Last updated
- Aug 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79543 | AZ | Primary |
Addresses
Primary practice location
350 W Thomas Rd
Phoenix, AZ 85013-4496
Mailing address
1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098
Phone (304) 894-2141
Other practice location 1
1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098
Phone (480) 831-7566
Other practice location 2
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250606001965 | AZ | Order and Referring Only - Internal Medicine | 3678083847 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79543 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1790480507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W BASELINE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852029098",
"telephone_number": "304-894-2141",
"fax_number": "480-775-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134496",
"telephone_number": "602-406-3000"
}
],
"practiceLocations": [
{
"address_1": "1855 W Baseline Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852029098",
"country_code": "US",
"telephone_number": "480-831-7566",
"fax_number": "480-775-2457",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 E Roosevelt St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850084973",
"country_code": "US",
"telephone_number": "602-344-5011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IKE",
"first_name": "ASHLEY",
"middle_name": "IFUNANYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "79543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.