Individual provider Active NPI

Enaka Marie Yembe, M.D.

  • Family Medicine Physician
  • Ruston, LA
National Provider Identifier
1003874314
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
199975 Issued in LA
Practice address
612 S. Farmerville Street
Ruston, LA 71270
Phone
(318) 436-2600
Fax
(318) 436-2601
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q5954 TX
Family Medicine Physician 207Q00000X 199975 LA Primary

Addresses

Primary practice location

612 S. Farmerville Street
Ruston, LA 71270

Mailing address

PO Box 445
Ruston, LA 71273-0445
Phone (318) 436-2600

Other identifiers 1

IdentifierTypeStateIssuer
1054453MedicaidLA

Other names 1

  • Marie Susan Enaka Yembe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000110 LA Practitioner - Emergency Medicine 5799723292 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District No 1a of the Parish of Richland State of laGroup PAC ID 1456307230, shared by 10 NPIs, 31 clinicians

Practice addresses (Care Compare)

407 Cincinnati St
Delhi, LA 71232-3007

Hospital & facility affiliations

  • Richland Parish Hospital-Delhi Hospital, Delhi, LA, CCN 191323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199975LAMDFamily Medicine Physician
Q5954TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Sep 1, 2015 Accepting new patients
A Plus Medical of Ruston LLC CurrentSince May 1, 2019 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Jun 1, 2015 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
A Plus Medical of Ruston LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Aug 1, 2025 Accepting new patients

Locations

501 Broadway St
Delhi, LA 71232
Phone (318) 878-6650

407 Cincinnati St
Delhi, LA 71232
Phone (318) 878-5171

508 Broadway St
Delhi, LA 71232
Phone (318) 878-3737

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

Interoperability endpoints

  • Direct secure messaging: enaka.yembe.2@13199.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13199/brand/3/csg/21/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1003874314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712730445",
            "telephone_number": "318-436-2600",
            "fax_number": "318-436-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S. FARMERVILLE STREET",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "71270",
            "telephone_number": "318-436-2600",
            "fax_number": "318-436-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEMBE",
        "first_name": "ENAKA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "199975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054453",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE SUSAN",
            "last_name": "ENAKA YEMBE",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.