Ibidunni O Ukegbu PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IBIDUNNI O UKEGBU PA

Doing business as

Pearl Medical Clinic

Practice address

8067 W Virginia Dr
Suite 101
Dallas, TX 75237-3767

Phone

(469) 453-2008

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Ibisunni O Ukegbu, MD

Title

Owner

Phone

(469) 453-2008

Specialties & licenses 1

Addresses

Other names 1

• Pearl Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shakaiela Byrd

  • Family Nurse Practitioner
  • Desoto, TX
  • NPI 1225711617
  Medicare reassignment NPD
• Indyia Lacount, FNP

  • Nurse Practitioner
  • Mansfield, TX
  • NPI 1972255313
  Medicare reassignment NPD
• Alexander M Tanjuakio, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1245542976
  Medicare reassignment NPD
• Ibidunni Omolayo Ukegbu, MD

  • Internal Medicine Physician
  • Lubbock, TX
  • NPI 1447213194
  Medicare reassignment NPD
• Ifeyinwa Norbert, MD

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1356801583

  TX

  Medicare reassignment NPD
• Debra K Hunter, PA

  • Physician Assistant
  • Desoto, TX
  • NPI 1104936509
  Medicare reassignment

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1861760506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751061598",
            "telephone_number": "469-453-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8067 W VIRGINIA DR",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373767",
            "telephone_number": "469-453-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBIDUNNI O UKEGBU PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "UKEGBU",
        "authorized_official_first_name": "IBISUNNI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-453-2008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agnes Ibeneme, RN
• Obiageri Ibewuike
• Uzoamaka Ibezim
• Ifeanyi Chidera Ibezue
• Michelle Oluwafunmilayo Ibidapo
• Olaolu K Ibiwoye, B.PHARM
• Ibloom Wellness Clinic PLLC
• Antony Ibrahim, MD
• Hassan Nimer Ibrahim, M.B., B.S.
• Hicham Mohsen Ibrahim, M.D.

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.