Individual provider Active NPI

Marc A Ibanez, MD

  • Internal Medicine Physician
  • Alice, TX
National Provider Identifier
1851497903
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4188 Issued in TX
Practice address
1009 E 6TH St
Alice, TX 78332-4657
Phone
(361) 668-8888
Fax
(361) 664-1818
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X M4188 TX
Internal Medicine Physician 207R00000X M4188 TX Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X M4188 TX

Addresses

Primary practice location

1009 E 6TH St
Alice, TX 78332-4657

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (407) 533-6836

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marc.ibanez.1@29601.direct.athenahealth.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000791 TX Practitioner - Internal MedicinePractitioner - Other (Physician) 6709973886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

1009 E 6TH St
Alice, TX 78332-4657
Phone (361) 661-8888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management of Texas, P.a. Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Essential Performance Center, LLC Current Accepting new patients
Centerwell Senior Primary Care (SC) PC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Marc Ibanez MD PA Current Accepting new patients
Wellmed Medical Group, PA Internal Medicine PastSince Feb 1, 2016 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1009 E 6th St
Alice, TX 78332
Phone (361) 661-8888

5424 Holly Rd
Corpus Christi, TX 78411
Phone (361) 334-0937

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

Interoperability endpoints

  • Direct secure messaging: marc.ibanez.1@29601.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1851497903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "407-533-6836",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E 6TH ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324657",
            "telephone_number": "361-668-8888",
            "fax_number": "361-664-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBANEZ",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M4188",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4188",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "M4188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marc.ibanez.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1009 E 6th St",
            "city": "Alice",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783324657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.