Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kent E. Ibanez, MD

Individual provider Diagnostic Radiology Physician · NPI 1326007972

Dr. Kent E. Ibanez, MD is a Diagnostic Radiology in Maywood, Illinois. Qualified in 2000, 26 years ago. Practices with Sanford Clinic, a 273-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Illinois, North Dakota and Texas.

Years since qualifying
26
Licensed in
FL, IL, ND, TX
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4250 Hospital Dr, Marianna, FL 32446-1917 — (850) 526-2200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M3269 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036169257 (IL)
Neuroradiology Physician Taxonomy 2085N0700X · Licence TEMP (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 22674 (ND)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME170240 (FL)

Record details

NPI number1326007972
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address12554 Riata Vista Cir, Austin, TX 78727-6431

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Sanford Clinic — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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