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EMEM IDEM M.D NPI 1063741221


NPI Information

NPI: 1063741221
Provider Name: EMEM IDEM, M.D
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2600 E PFLUGERVILLE PKWY STE 100
PFLUGERVILLE, TX
ZIP 78660
Phone: (512) 654-6100
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Emem Idem, M.D is an internal medicine in Pflugerville, TX with 25 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Emem Idem, M.D NPI is 1063741221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 E PFLUGERVILLE PKWY STE 100
PFLUGERVILLE, TX
ZIP 78660-999
Phone: (512) 654-6100

The NPI 1063741221 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 enumeration date for this NPI number is 12/17/2009 and was last updated on 1/5/2022.


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
1207R00000XInternal MedicineP9372TEXASYes
2208M00000XHospitalistM-14551IDAHONo

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
1341747903MEDICAIDTEXAS
2341747905MEDICAIDTEXAS
3373078YKXYOTHERTEXASMEDICARE
4373078YLP1OTHERTEXASMEDICARE
5341747902MEDICAIDTEXAS
6341747904MEDICAIDTEXAS
7373078YKXVOTHERTEXASMEDICARE
8373078YLP2OTHERTEXASMEDICARE

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.