PEARL MEDICAL CLINIC
NPI 1861760506
Internal Medicine in Dallas, TX
About Pearl Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEARL MEDICAL CLINIC (NPI 1861760506) is a healthcare organization registered as an internal medicine in Dallas, Texas and active in the NPI registry since December 2011. The organization lists Ibisunni O Ukegbu, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pearl Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Pearl Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ibidunni O Ukegbu PA's NPI number?
The NPI number for Ibidunni O Ukegbu PA is 1861760506. It was assigned to this organization in the NPPES registry on December 8, 2011. The provider is doing business as Pearl Medical Clinic.
Where is Ibidunni O Ukegbu PA located?
Ibidunni O Ukegbu PA is located at 8067 W Virginia Dr Suite 101, Dallas, TX 75237. The listed phone number is (469) 453-2008.
What is Ibidunni O Ukegbu PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ibidunni O Ukegbu PA enrolled in Medicare?
Yes. Ibidunni O Ukegbu PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ibidunni O Ukegbu PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Ibidunni O Ukegbu PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ibidunni O Ukegbu PA accept?
Health plans from WellPoint list Ibidunni O Ukegbu PA 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 Ibidunni O Ukegbu PA was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Pearl Medical Clinic · NPI 1861760506
Internal Medicine organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since December 8, 2011.
## Identity
- **NPI:** 1861760506 (Entity type: Organization)
- **Enumerated:** December 8, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Ibidunni O Ukegbu Pa
- **Organization subpart:** No
- **Authorized official:** Ibisunni Ukegbu, OWNER
## Practice location
- **Address:** 8067 W VIRGINIA DR, SUITE 101, Dallas, TX 75237-3767
- **Phone:** (469) 453-2008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1861760506) · Data from the CMS NPPES public registry.