DR. ASHLEY IFUNANYA IKE MD
NPI 1790480507
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 03, 2023PECOS Enrolled

350 W THOMAS RD, PHOENIX, AZ 85013(602) 406-3000 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2026, Apr 3, 2023 (2 updates tracked since 2023).

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About Dr. Ashley Ifunanya Ike Md NPPES

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

DR. ASHLEY IFUNANYA IKE MD (NPI 1790480507) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790480507

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ASHLEY IFUNANYA IKECredential: MD

Location Address350 W THOMAS RDPhoenix, AZ 85013-4496

Mailing Address1855 W Baseline Rd Ste 101Mesa, AZ 85202-9098 · (304) 894-2141 · Fax (480) 775-2457

Phone(602) 406-3000

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1790480507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

350 W THOMAS RD, Phoenix, AZ 85013

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Secondary Practice Locations 2

Location 12601 E Roosevelt StPhoenix, AZ 85008-4973 · Phone (602) 344-5011

Location 21855 W Baseline Rd Ste 101Mesa, AZ 85202-9098 · Phone (480) 831-7566 · Fax (480) 775-2457

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashley Ifunanya Ike 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.