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DESMOND OKEY IKONDU MD NPI 1053393983


NPI Information

NPI: 1053393983
Provider Name: DESMOND OKEY IKONDU, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2502 W TRENTON RD
EDINBURG, TX
ZIP 78539
Phone: (956) 630-2119
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Desmond Okey Ikondu, MD is a family medicine in Edinburg, TX with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Desmond Okey Ikondu, MD NPI is 1053393983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1997

The provider's business location address is:

2502 W TRENTON RD
EDINBURG, TX
ZIP 78539-070
Phone: (956) 630-2119
Fax: (956) 682-6115

The NPI 1053393983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 11/16/2005 and was last updated on 10/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineL1348TEXASNo
2207Q00000XFamily MedicineL1348TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10075GCOTHERTEXASBCBS
200714MMEDICARE PINTEXAS
3P00187896MEDICARE PINTEXAS
4H30251MEDICARE UPINTEXAS
5141660402MEDICAIDTEXAS
6201528101OTHERTEXASGROUP TPI MEDICIAID
7141660405MEDICAIDTEXAS
800Z798OTHERTEXASMEDICARE PTAN -5/1/08
9141660401OTHERTEXASINDIV TPI MEDICIAID
10141660407MEDICAIDTEXAS
1100301QMEDICARE PINTEXAS
128C8264MEDICARE PINTEXAS
13113464OTHERTEXASSUPERIOR HEALTH CARE
14141060401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.