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IBANGA MICHAEL EKANEM MD
NPI 1710085824
Pediatrics - Adolescent Medicine in New Martinsville, WV

Active since September 20, 2006PECOS Enrolled
100 PADUCAH DR, NEW MARTINSVILLE, WV 26155(304) 455-3611(304) 455-1778 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 18, 2022, Jul 15, 2021, Jan 11, 2021 and 1 more (4 updates tracked since 2019).

About Ibanga Michael Ekanem Md NPPES

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

IBANGA MICHAEL EKANEM MD (NPI 1710085824) is an individual adolescent medicine provider in New Martinsville, West Virginia, licensed in West Virginia (19922) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710085824
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameIBANGA MICHAEL EKANEMCredential: MD
Location Address100 PADUCAH DRNew Martinsville, WV 26155
Mailing Address100 Paducah DrNew Martinsville, WV 26155 · (304) 455-3611 · Fax (304) 455-1778
Phone(304) 455-3611
Fax(304) 455-1778
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 18, 20224 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1710085824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in WV · 19922
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
100 PADUCAH DR, New Martinsville, WV 26155
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Other Identifiers 1

Medicaid1801553000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Ibanga Michael Ekanem 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 Reassignment

Medicare enrollment records show Ibanga Ekanem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wetzel County Hospital, Inc.
0.2 mi
Family Medicine
3 E BENJAMIN DR
New Martinsville, WV 26155
  • Reassigned Medicare billing, West Virginia enrollment
  • 130 clinicians in this Medicare group
NPI 1518590033 (304) 455-8000

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

Other Providers at the Same Location NPPES 3

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

PATRICIA LOUISE BOWMAN CFNP
Nurse Practitioner (Family)
100 PADUCAH DR, SUITE B
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 447-4000
LIFELINE PEDIATRICS INC
Specialist
100 PADUCAH DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-3611
DAKSHINA R MURTHY MD
Internal Medicine (Cardiovascular Disease)
100 PADUCAH DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 815-0050

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 Ibanga Ekanem's NPI number?

The NPI number for Ibanga Ekanem is 1710085824. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ibanga Ekanem located?

Ibanga Ekanem practices at 100 Paducah Dr, New Martinsville, WV 26155. The listed phone number is (304) 455-3611.

What is Ibanga Ekanem's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Ibanga Ekanem enrolled in Medicare?

Yes. Ibanga Ekanem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ibanga Ekanem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ibanga Ekanem reassigns Medicare benefits to Wetzel County Hospital, Inc. (New Martinsville, WV). 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 Ibanga Ekanem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ibanga Ekanem accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Ibanga Ekanem 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 Ibanga Ekanem was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.