Individual provider Active NPI

Nzonguti Ekangaki, CRNA

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
National Provider Identifier
1013489764
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP140878 Issued in TX
Practice address
3601 4TH St Ste 1B350S
Lubbock, TX 79430-0002
Phone
(806) 743-6639
NPI assigned
Dec 19, 2018
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 124582 CA
Certified Registered Nurse Anesthetist 367500000X AP140878 TX Primary

Addresses

Primary practice location

3601 4TH St Ste 1B350S
Lubbock, TX 79430-0002

Mailing address

3601 4TH St Ste 1B350S
Lubbock, TX 79430-0002
Phone (806) 743-6639

Other practice location 1

5115 80th St
Lubbock, TX 79424-3017
Phone (806) 788-4368

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nzonguti.ekangaki@direct.myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404001252 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890036610 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians
West Texas Digestive Disease Center P.a.Group PAC ID 7416043161, 10 clinicians

Practice addresses (Care Compare)

1001 Surrey LN
Flower Mound, TX 75022-4234
Phone (817) 337-3671

2930 N Stanton St
El Paso, TX 79902-2511
Phone (915) 271-4569

5115 80TH St
Lubbock, TX 79424-3017
Phone (806) 788-4368

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP140878TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Mar 7, 2019 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
County of Ward Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince May 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 30, 2023 Accepting new patients
County of Ward Current Accepting new patients
West Texas Digestive Disease Center, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 30, 2023 Accepting new patients
Global Anesthesia Services PLLC CurrentSince May 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
South Plains Pathology Inc Past Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

2930 N Stanton St
El Paso, TX 79902
Phone (915) 271-4569

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

3601 4th St
#1B350K
Lubbock, TX 79430
Phone (806) 743-2981

3601 4th St
Ste 1B350S
Lubbock, TX 79430
Phone (806) 743-6639

5115 80th St
Lubbock, TX 79424
Phone (806) 788-4368

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

2106 N Midland Dr
Ste 100
Midland, TX 79707
Phone (432) 423-2272

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 3

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1013489764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STE 1B350S",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STE 1B350S",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-6639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 80th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794243017",
            "country_code": "US",
            "telephone_number": "806-788-4368",
            "fax_number": "806-788-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKANGAKI",
        "first_name": "NZONGUTI",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "124582",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nzonguti.ekangaki@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th St Ste 1B350S",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794300002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.