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WALTER C IFEADIKE MD
NPI 1689684839
Pediatrics - Pediatric Gastroenterology in Memphis, TN

Active since August 09, 2006PECOS Enrolled
6215 HUMPHREYS BLVD STE 300, MEMPHIS, TN 38120(901) 227-9870(901) 227-9879 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Walter C Ifeadike Md NPPES

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

WALTER C IFEADIKE MD (NPI 1689684839) is an individual pediatric gastroenterology provider in Memphis, Tennessee, licensed in Tennessee (54786) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689684839
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameWALTER C IFEADIKECredential: MD
Location Address6215 HUMPHREYS BLVD STE 300Memphis, TN 38120-2382
Mailing AddressPo Box 405827Atlanta, GA 30384-5800
Phone(901) 227-9870
Fax(901) 227-9879
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 7, 2016
✔ NPI 1689684839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TN · 54786
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 38519 (GA)
6215 HUMPHREYS BLVD STE 300, Memphis, TN 38120
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Other Identifiers 1

Medicare UPINE00932

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter C Ifeadike 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Walter Ifeadike reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Memorial Medical Group Inc
7.6 mi
Internal Medicine
8970 WINCHESTER RD
Memphis, TN 38125
  • Reassigned Medicare billing, Tennessee enrollment
  • 581 clinicians in this Medicare group
NPI 1306089206 (901) 227-4068
Emergency Coverage, LLC
380 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

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 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

MELROSE INGLE BLACKETT MD
Obstetrics & Gynecology
6215 HUMPHREYS BLVD STE 300
MEMPHIS, TN 38120
Shelby County (901) 757-0229
JESSICA ESTELLE BELL M.D.
Obstetrics & Gynecology (Gynecology)
6215 HUMPHREYS BLVD STE 300
MEMPHIS, TN 38120
Shelby County (901) 757-0229

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 Walter Ifeadike's NPI number?

The NPI number for Walter Ifeadike is 1689684839. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Walter Ifeadike located?

Walter Ifeadike practices at 6215 Humphreys Blvd Ste 300, Memphis, TN 38120. The listed phone number is (901) 227-9870.

What is Walter Ifeadike's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Walter Ifeadike enrolled in Medicare?

Yes. Walter Ifeadike is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Walter Ifeadike's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Ifeadike reassigns Medicare benefits to 2 organizations: Baptist Memorial Medical Group Inc (Memphis, TN) and Emergency Coverage, LLC (Newport, TN). 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 Walter Ifeadike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Walter Ifeadike accept?

Health plans from Arkansas Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Health Advantage, Octave and Oscar Health Plan, Inc. and 1 other insurer list Walter Ifeadike as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walter Ifeadike was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.