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DR. IVIE DORIS ESANGBEDO MD, MPH
NPI 1821208471
Pediatrics - Pediatric Critical Care Medicine in Dallas, TX

Active since May 23, 2007PECOS Enrolled
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 456-1600(214) 456-7594 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ivie Doris Esangbedo Md, Mph NPPES

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

DR. IVIE DORIS ESANGBEDO MD, MPH (NPI 1821208471) is an individual pediatric critical care medicine provider in Dallas, Texas, licensed in Texas (Q7038) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821208471
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. IVIE DORIS ESANGBEDOCredential: MD, MPH
Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7208
Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 456-1600 · Fax (214) 456-7594
Phone(214) 456-1600
Fax(214) 456-7594
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 21, 2016
✔ NPI 1821208471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in TX · Q7038
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5323 HARRY HINES BOULEVARD, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivie Doris Esangbedo Md, Mph 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 Ivie Esangbedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Association Of Chmc And University Physicians
1,508 mi
Pediatrics
969 STEVENS DR, SUITE 1B
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
NPI 1851680664 (509) 946-0976

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 20

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

DR. SANDEEP GUTTIKONDA MD
Emergency Medicine
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3916
MS. STEPHANIE GAIL WEST CHESNUT AUD.
Audiologist
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 645-8898
MRS. SONEY ABRAHAM NP
Nurse Practitioner (Family)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3916
MR. SIMON TIZIANI
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3111
ALEX SUTTER MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3433
JACQUELINE TYRA CAIRE M.D.
Radiology (Diagnostic Radiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (469) 757-1000
SADIA MALIK MD
Pediatrics (Pediatric Cardiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 456-2533
SASAN MIRFAKHRAEE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 645-2800

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 Ivie Esangbedo's NPI number?

The NPI number for Ivie Esangbedo is 1821208471. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Ivie Esangbedo located?

Ivie Esangbedo practices at 5323 Harry Hines Boulevard, Dallas, TX 75390. The listed phone number is (214) 456-1600.

What is Ivie Esangbedo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Ivie Esangbedo enrolled in Medicare?

Yes. Ivie Esangbedo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivie Esangbedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivie Esangbedo reassigns Medicare benefits to Association Of Chmc And University Physicians (Richland, WA). 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 Ivie Esangbedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivie Esangbedo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ivie Esangbedo 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 Ivie Esangbedo was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.