MRS. GLORIA OZIOMA IBEZIM FAMILY NURSE PRACT
NPI 1649529900
Nurse Practitioner - Family in Rochester, NY
About Mrs. Gloria Ozioma Ibezim Family Nurse Pract NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GLORIA OZIOMA IBEZIM FAMILY NURSE PRACT (NPI 1649529900) is an individual family provider in Rochester, New York, licensed in New York (F08170262) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Gloria Ozioma Ibezim Family Nurse Pract is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gloria Ibezim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsford, NY 14534
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: State Of New York Comptrollers Office
- 342 clinicians in this Medicare group
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 14620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCHESTER, NY 14620
ROCHESTER, NY 14620
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 Gloria Ibezim's NPI number?
The NPI number for Gloria Ibezim is 1649529900. It was assigned to this individual provider in the NPPES registry on September 2, 2012.
Where is Gloria Ibezim located?
Gloria Ibezim practices at 620 Westfall Rd, Rochester, NY 14620. The listed phone number is (585) 461-8580.
What is Gloria Ibezim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gloria Ibezim enrolled in Medicare?
Yes. Gloria Ibezim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gloria Ibezim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Ibezim reassigns Medicare benefits to Monroe Ddso Clinic Pittsford (Pittsford, NY). The 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 Gloria Ibezim'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 Gloria Ibezim was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Mrs. Gloria Ozioma Ibezim, FAMILY NURSE PRACT · NPI 1649529900
Family physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since September 2, 2012.
## Identity
- **NPI:** 1649529900 (Entity type: Individual)
- **Enumerated:** September 2, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F08170262 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 WESTFALL RD, Rochester, NY 14620-4610
- **Phone:** (585) 461-8580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Monroe Ddso Clinic Pittsford (NPI 1063546778, Pittsford, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Medicaid 1649529900 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1649529900) · Data from the CMS NPPES public registry.