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

Ginikachukwu Ibezim, MD

Individual provider Family Medicine Physician · NPI 1578139325

Ginikachukwu Ibezim, MD is a Family Practice in Austin, Texas. Graduated from University of Missouri, Kansas City, School of Medicine in 2021, 5 years ago. Practices with Austin Regional Clinic PA, a 397-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
TX
In the registry since
2021
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

11714 Wilson Parke Ave Ste 150
Austin, TX 78726
Phone: (512) 346-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1015 W University Ave Ste 700, Georgetown, TX 78628-5355 — (512) 691-6519

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V1490 (TX)

Record details

NPI number1578139325
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Austin Regional Clinic Pa — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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