IFUNANYA EKECHUKWU MD
NPI 1124720461
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since March 20, 2023PECOS Enrolled
11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ifunanya Ekechukwu Md NPPES

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

IFUNANYA EKECHUKWU MD (NPI 1124720461) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (BP10096866) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124720461
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIFUNANYA EKECHUKWUCredential: MD
Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154
Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7200
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1124720461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in TX · BP10096866
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11937 US HIGHWAY 271, Tyler, TX 75708

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ifunanya Ekechukwu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
11937 US HIGHWAY 271
TYLER, TX 75708
Emergency Medicine
11937 US HIGHWAY 271
TYLER, TX 75708
Internal Medicine (Rheumatology)
11937 US HIGHWAY 271
TYLER, TX 75708
Physician Assistant
11937 US HIGHWAY 271
TYLER, TX 75708
Clinic/Center (Radiology, Mobile)
11937 US HIGHWAY 271
TYLER, TX 75708
Family Medicine
11937 US HIGHWAY 271
TYLER, TX 75708
Dietitian, Registered
11937 US HIGHWAY 271
TYLER, TX 75708
Nurse Practitioner
11937 US HIGHWAY 271
TYLER, TX 75708

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124720461, enumerated as an "individual" on March 20, 2023.

The provider is located at 11937 US HIGHWAY 271 TYLER, TX 75708 and the phone number is (903) 877-7200.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.