Individual provider

Grace Ayandibu, M.D, M.S, LPC

Mental Health Counselor Student in an Organized Health Care Education/Training Program Procedural Dermatology Physician Medicare enrolled

Grace Ayandibu, M.D, M.S, LPC is a Procedural Dermatology Physician in Wichita Falls, TX, registered under NPI 1023395928. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2637 PLAZA PKWY, Wichita Falls, TX 76308. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2637 PLAZA PKWY, Wichita Falls, TX 76308 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
178007242 IL Mental Health Counselor
T9346 TX Procedural Dermatology Physician primary

Licences are recorded in 2 states: IL, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dermatology
PAC ID
6103180138
Enrollment ID
I20230228000455

Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Illinois and Texas. The practice address on file is in Wichita Falls, TX, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
178007242
Specialty
Mental Health Counselor
Verify with the IL board →
TX Texas practice address
Licence
T9346
Specialty
Procedural Dermatology Physician
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Procedural Dermatology covers

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). NUCC Health Care Provider Taxonomy, code 207NS0135X
Allopathic & Osteopathic Physicians Dermatology Procedural Dermatology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health 178007242 IL
390200000X Student in an Organized Health Care Education/Training Program
207NS0135X Procedural Dermatology Physician Procedural Dermatology T9346 TX primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1023395928 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 8, 2011
Last updatedApr 10, 2023
StatusActive
Sole proprietorYes
GenderFemale
CredentialM.D, M.S, LPC
Practice address 2637 PLAZA PKWY
Wichita Falls, TX 76308
(940) 239-9160
The last update on file is Apr 10, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1023395928 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 2 3 3 9 5 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 4 3 6 9 1 9 4

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1023395928?
NPI 1023395928 is the National Provider Identifier assigned to Grace Ayandibu, M.D, M.S, LPC in Wichita Falls, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Procedural Dermatology cover?
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration…
How do I contact Grace Ayandibu, M.D, M.S, LPC?
The phone number on file with NPPES is (940) 239-9160, last updated Apr 10, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Grace Ayandibu, M.D, M.S, LPC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1023395928 a valid number?
Yes. 1023395928 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.