JOYCE BOLUWATIFE IDEHEN MD
NPI 1215420559
Family Medicine in Pearland, TX

Q: What is Joyce Idehen's NPI number?

The NPI number for Joyce Idehen is 1215420559. It was assigned to this individual provider in the NPPES registry on June 12, 2018. The provider is also known as Joyce Boluwatife Sadiku Rn.

Q: What is Joyce Idehen'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 Joyce Idehen was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 12, 2018PECOS EnrolledAccepts Medicare Assignment

10905 MEMORIAL HERMANN DR STE 130, PEARLAND, TX 77584(346) 288-8746(346) 200-3841 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Jul 6, 2022, Apr 21, 2022 and 1 more (4 updates tracked since 2018).

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About Joyce Boluwatife Idehen Md NPPES

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

JOYCE BOLUWATIFE IDEHEN MD (NPI 1215420559) is an individual family medicine provider in Pearland, Texas, licensed in Texas (W2077) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215420559

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJOYCE BOLUWATIFE IDEHENCredential: MD

Location Address10905 MEMORIAL HERMANN DR STE 130Pearland, TX 77584-3773

Mailing AddressPo Box 57845Webster, TX 77598-7845 · (346) 288-8746

Phone(346) 288-8746

Fax(346) 200-3841

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 12, 2018

Last NPPES UpdateFebruary 13, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1215420559 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 TX · W2077

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 ListedRegistered NurseTaxonomy 163W00000X · License 865223 (TX)

10905 MEMORIAL HERMANN DR STE 130, Pearland, TX 77584

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Other Names 1

Former Name (1)Joyce Boluwatife Sadiku Rn

Secondary Practice Locations 3

Location 1500 N Kobayashi Ste FWebster, TX 77598-4722 · Phone (281) 816-3092

Location 2600 N Kobayashi Ste 309Webster, TX 77598-4841 · Phone (281) 724-8332

Location 3600 N Kobayashi Ste 110Webster, TX 77598-4841 · Phone (281) 338-1701

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

Joyce Boluwatife Idehen Md 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 ID4486146099

PECOS Enrollment IDI20251121001028

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77584 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

$88.15 typical visit price

range $57.16 – $172.89

Typical copayment $22.03 (range $14.29 – $43.22)

Most-billed visit code 99203

Established Patient

$100.84 typical visit price

range $18.45 – $141.27

Typical copayment $25.21 (range $4.61 – $35.31)

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.

CATALINA ESQUIVEL

Physician Assistant