Active NPI
Marc A Ibanez, MD
- Internal Medicine Physician
- Alice, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M4188
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management of Texas, P.a. | Internal Medicine | Current | Accepting new patients |
| Essential Performance Center, LLC | Current | Accepting new patients | |
| Centerwell Senior Primary Care (SC) PC | Internal Medicine | Current | Accepting new patients |
| Marc Ibanez MD PA | Current | Accepting new patients | |
| Wellmed Medical Group, PA | Internal Medicine | Past | 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
- 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.
-
- Internal Medicine Physician
- Live Oak, TX
- NPI 1770988990
-
- Occupational Medicine Physician
- Corpus Christi, TX
- NPI 1306506357
-
- Primary Care Clinic/Center
- Corpus Christi, TX
- NPI 1811536220
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1376907790
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.