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GIDEON IBE AHANONU FNP
NPI 1336623446
Nurse Practitioner - Family in Dallas, TX

Active since September 24, 2018PECOS Enrolled
9550 FOREST LN STE 619, DALLAS, TX 75243(972) 439-5208(877) 800-4032 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 10, 2025, Sep 24, 2018 (2 updates tracked since 2018).

About Gideon Ibe Ahanonu Fnp NPPES

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

GIDEON IBE AHANONU FNP (NPI 1336623446) is an individual family provider in Dallas, Texas, licensed in Texas (AP138700) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336623446
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGIDEON IBE AHANONUCredential: FNP
Location Address9550 FOREST LN STE 619Dallas, TX 75243-2613
Mailing Address9550 Forest Ln Ste 619Dallas, TX 75243-2613 · (972) 439-5208 · Fax (877) 800-4032
Phone(972) 439-5208
Fax(877) 800-4032
Sole ProprietorNo
Enumeration DateSeptember 24, 2018
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1336623446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP138700
9550 FOREST LN STE 619, Dallas, TX 75243
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gideon Ibe Ahanonu Fnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Gideon Ahanonu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atrium House Call Clinic, LLC
1.1 mi
Community Health
10729 AUDELIA RD STE 210
Dallas, TX 75238
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1659914539 (972) 270-1145
Advanced Wound Care Of North Texas PLLC
2.7 mi
Family Medicine
13154 COIT RD STE 102D
Dallas, TX 75240
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
NPI 1366908600 (956) 332-3809
Hephzibah Visiting Clinicians
25 mi
Family
1534 N HAMPTON RD STE 100
Desoto, TX 75115
  • Reassigned Medicare billing, Texas enrollment
  • 36 clinicians in this Medicare group
NPI 1083101075 (469) 941-4029

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75243 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gideon Ahanonu's NPI number?

The NPI number for Gideon Ahanonu is 1336623446. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Gideon Ahanonu located?

Gideon Ahanonu practices at 9550 Forest Ln Ste 619, Dallas, TX 75243. The listed phone number is (972) 439-5208.

What is Gideon Ahanonu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gideon Ahanonu enrolled in Medicare?

Yes. Gideon Ahanonu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gideon Ahanonu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gideon Ahanonu reassigns Medicare benefits to 3 organizations: Atrium House Call Clinic, LLC (Dallas, TX), Advanced Wound Care Of North Texas PLLC (Dallas, TX) and Hephzibah Visiting Clinicians (Desoto, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gideon Ahanonu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gideon Ahanonu was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.