Ibasaraboh Iyegha, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

U2230 Issued in TX

Practice address

4461 Coit Rd Ste 405
Frisco, TX 75035-0531

Phone

(972) 516-0700

NPI assigned

Apr 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibasaraboh.iyegha.p1@direct.thc.nextgenshare.com
• Direct secure messaging: ibasarahboh.iyegha.1@8042.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9229/brand/1/csg/1/fhir/r4
• Direct secure messaging: iiyegha109836@direct.phhs.org

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.

• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment NPD
• Texas Health Care, P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Willow Park, TX
  • NPI 1073679379
  NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD
• Forest Lane Pediatrics

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1225173107
  NPD (past)

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1982233854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 COIT RD STE 405",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350531",
            "telephone_number": "972-526-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 COIT RD STE 405",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350531",
            "telephone_number": "972-516-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Lane Building B, Ste 300 & 308",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75230",
            "country_code": "US",
            "telephone_number": "972-284-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYEGHA",
        "first_name": "IBASARABOH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U2230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ardin Isfahani, PHARMD
• Ispin Health Holdings LLC
• Lesa Iteka
• Ivyhealth Network PLLC
• Ivyseeds Psychological Services
• Aparna Rama Iyer, M.D.
• Rajini Iyer, MD
• Ifeanyi Izediuno, MD
• J-S Frisco Operations, LP
• J. Blake Bolin, M.D., P.a.

• Pediatrics Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.