Dr. Obianaju Nicole Ikegbunam, MD
Family Medicine in Mesquite, TX. Individual provider (NPI-1).
NPI number1710540323
StatusActive
Last updated in NPPESNov 17, 2022
Details
- NPI
- 1710540323
- Entity type
- Individual (NPI-1)
- Name
- Dr. Obianaju Nicole Ikegbunam
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2019
- Certification date
- Nov 17, 2022
- Last updated
- Nov 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | U0361 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Nicole Ikegbunam (Professional Name)
Practice location
1575 I 30Mesquite, TX 75150-6905
Phone 469-800-2800
Mailing address
8722 Crown Jewel DrRichmond, TX 77469-9405
Phone 832-860-8430
Other practice locations
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phoenix, AZ 85015-2443
Phone 602-246-5658
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Mesquite, TX
- A-Medical HousecallsNPI 1598992166
- Jeffry Jense Benjamin, MDNPI 1780146191
- Junitha J BenjaminNPI 1912014978
- Benjamin Medical Associates, PANPI 1750560926
- Richard Allan Berlando, MDNPI 1093760647
- Peter D Cao, MDNPI 1356635049
- Carefirst Night ClinicNPI 1891254918
- Charles Lovelace DO PANPI 1275882953
- Chen Ha, MD, PANPI 1477738193
- Chifom Enterprises INCNPI 1962044412
All 63 Family Medicine Physician providers in Mesquite · All 2,371 providers in Mesquite
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.