Individual provider Active NPI

Ifeoma Ugonabo, MD

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1962714600
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
60179 Issued in TN
Practice address
1211 Union Ave Ste 965
Memphis, TN 38104
Phone
(901) 435-8550
Fax
(901) 478-0781
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61328 CT
Internal Medicine Physician 207R00000X 4301097106 MI
Cardiovascular Disease Physician 207RC0000X 60179 TN Primary

Addresses

Primary practice location

1211 Union Ave Ste 965
Memphis, TN 38104

Mailing address

PO Box 1000, Dept 960
Memphis, TN 38148-0001
Phone (901) 758-9900

Other practice location 1

18101 Oakwood Boulevard
Dearborn, MI 48124
Phone (313) 228-0505

Other practice location 2

7460 Wolf River Blvd
Germantown, TN 38138-1760
Phone (901) 763-0200

Other names 1

  • Ifeoma Okafor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131014001858 MI Practitioner - Internal Medicine 4486888047 Reassigns benefits to 1 organization
I20240913000900 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4486888047 Reassigns benefits to 1 organization
I20240924000790 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4486888047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Michigan State University College of Human Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

13575 Heathcote Blvd
Suite 200
Gainesville, VA 20155-6700
Phone (571) 472-2900

21785 Filigree CT
Suite 100
Ashburn, VA 20147-6214
Phone (703) 204-9301

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

4320 Seminary Rd
Alexandria, VA 22304-1535

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61328CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Inova Health Care Services CurrentSince Aug 19, 2024 Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Nov 1, 2013 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
Henry Ford Health System CurrentSince Nov 1, 2013 Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8140 Ashton Ave
Ste 125
Manassas, VA 20109
Phone (571) 665-6550

Interoperability endpoints

  • Direct secure messaging: ifeomaugonabo@sccpc.allscriptsdirect.net
  • Direct secure messaging: iugonabo26781@mlh.direct-ci.com
  • Direct secure messaging: iugonabo1441484@soc.inova.org

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1962714600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000, DEPT 960",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-758-9900",
            "fax_number": "901-752-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 965",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-435-8550",
            "fax_number": "901-478-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Boulevard",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "48124",
            "country_code": "US",
            "telephone_number": "313-228-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7460 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381760",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGONABO",
        "first_name": "IFEOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "61328",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097106",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "60179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IFEOMA",
            "last_name": "OKAFOR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.