ADEIMA UBOKUDOM IBANGA
NPI 1013598390
Family Medicine in Charlotte, NC

Q: What is Adeima Ibanga's NPI number?

The NPI number for Adeima Ibanga is 1013598390. It was assigned to this individual provider in the NPPES registry on April 18, 2021.

Q: What is Adeima Ibanga's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Adeima Ibanga was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2021PECOS EnrolledAccepts Medicare Assignment

1918 RANDOLPH RD STE 350, CHARLOTTE, NC 28207(704) 384-1750(704) 384-1720 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Adeima Ubokudom Ibanga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADEIMA UBOKUDOM IBANGA (NPI 1013598390) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2024-02770) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013598390

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameADEIMA UBOKUDOM IBANGA

Location Address1918 RANDOLPH RD STE 350Charlotte, NC 28207-1111

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 384-1750

Fax(704) 384-1720

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 18, 2021

Last NPPES UpdateOctober 14, 2024

NPPES CertifiedOctober 14, 2024

✔ NPI 1013598390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2024-02770

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1918 RANDOLPH RD STE 350, Charlotte, NC 28207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adeima Ubokudom Ibanga is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901331214

PECOS Enrollment IDI20241122004322

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340190

Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADIA MOHAMAD NASSER

Internal Medicine