Organization Active NPI

John O. Ike MD, MPH, PA

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1922372523
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
J7524 Issued in TX
Legal business name
JOHN O. IKE MD, MPH, PA
Practice address
7500 Beechnut St Ste 152
Houston, TX 77074-4310
Phone
(713) 777-2790
NPI assigned
Feb 28, 2012
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
John Ike, M.D.NPI 1649356197
Title
Medical Director
Phone
(713) 777-2790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X J7524 TX Primary

Addresses

Primary practice location

7500 Beechnut St Ste 152
Houston, TX 77074-4310

Mailing address

7500 Beechnut St Ste 152
Houston, TX 77074-4310
Phone (713) 777-2790

Other identifiers 1

IdentifierTypeStateIssuer
139822420MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000173 TX Part B Supplier - Clinic/Group Practice 9537328406 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7500 Beechnut St
Ste 152
Houston, TX 77074
Phone (713) 777-2790

7737 Beechnut St
Ste 201
Houston, TX 77074
Phone (713) 777-2790

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1922372523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 152",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744310",
            "telephone_number": "713-777-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 152",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744310",
            "telephone_number": "713-777-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN O. IKE MD, MPH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "IKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-777-2790",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "J7524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139822420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.