Individual provider Active NPI

Ijeoma Carol Ibeanu, MD

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1861925901
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2022-0333 Issued in NM
Practice address
1201 E Schuster Ave Ste 3B
El Paso, TX 79902-4646
Phone
(915) 224-2171
Fax
(915) 289-9038
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD2022-0333 NM Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD2022-0333 NM

Addresses

Primary practice location

1201 E Schuster Ave Ste 3B
El Paso, TX 79902-4646

Mailing address

1201 E Schuster Ave Ste 3B
El Paso, TX 79902-4646
Phone (915) 224-2171

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
I20250422001395 TX Practitioner - Psychiatry 7517482698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 E Schuster Ave
Suite 3B
El Paso, TX 79902-4646
Phone (915) 224-2171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2022-0333NMMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Children'S Physician Group CurrentSince Jul 1, 2025 Accepting new patients
Mountain Bloom Psychiatry PLLC Psychiatry CurrentSince Apr 1, 2025 Accepting new patients

Locations

5400 Alameda Ave
Bldg B
El Paso, TX 79905
Phone (915) 242-8402

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

1201 E Schuster Ave
Ste 3B
El Paso, TX 79902
Phone (915) 224-2171

5340 El Paso Dr
Ste M
El Paso, TX 79905
Phone (915) 242-8402

Interoperability endpoints

  • Direct secure messaging: ijeoma.ibeanu.1@26814.direct.athenahealth.com
  • Direct secure messaging: ijeoma.ibeanu@direct.myhealthep.org

Organizations & group practices 2

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1861925901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 3B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-224-2171",
            "fax_number": "915-289-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 3B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-224-2171",
            "fax_number": "915-289-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEANU",
        "first_name": "IJEOMA",
        "middle_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2022-0333",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "MD2022-0333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.