DR. IMA MBODIE EBONG MD NPI 1891037230

NPI Information

  • NPI: 1891037230
  • Provider Name: DR. IMA MBODIE EBONG, MD
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 740 S LIMESTONE KY CLINIC J401
    LEXINGTON, KY
    ZIP 40536
  • Phone: (859) 323-5661

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NPI Details

DR. Ima Mbodie Ebong, MD is a clinical neurophysiology psychiatry neurology in Lexington, KY with 12 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Ima Mbodie Ebong, MD NPI is 1891037230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

740 S LIMESTONE KY CLINIC J401
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-5661

The NPI 1891037230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional (HCPCS:95720)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 3/24/2013 and was last updated on 5/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0600XPsychiatry & NeurologyClinical Neurophysiology51368KENTUCKYYes
2390200000XStudent in an Organized Health Care Education/Training ProgramFLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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