Active NPI
Ifeoma Ugonabo, MD
- Cardiovascular Disease Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 60179
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
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
- Inova Loudoun Hospital
- Inova Fair Oaks Hospital
- Inova Mount Vernon Hospital
- Fauquier Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61328 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Sutherland Cardiology Clinic, P.C. | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Henry Ford Health System | Internal Medicine | Current | Accepting new patients |
| Inova Health Care Services | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health System | Current | 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
- ifeomaugonabo@sccpc.allscriptsdirect.net
- iugonabo26781@mlh.direct-ci.com
- 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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Specialist
- Germantown, TN
- NPI 1740391804
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1891702833
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrenton, VA
- NPI 1912334517
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.