Lebaone Llulu Mogotsakgotla, AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP123544 Issued in TX

Practice address

2020 Bentworth Dr Apt 440
Houston, TX 77077-6220

Phone

(713) 562-8305

NPI assigned

Jun 11, 2013

Last updated

Sep 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Ipc Pac Healthcare Services of Texas PLLCGroup PAC ID 1759676307, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ipc Pac Healthcare Services of Texas PLLC

  • Hospitalist Physician
  • Addison, TX
  • NPI 1194174201
  Medicare reassignment Care Compare group NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  TX

  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Southwest, LLC

  • Hospitalist Physician
  • Baytown, TX
  • NPI 1275398430
  Medicare reassignment NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429
  Medicare reassignment NPD

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1023456134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BENTWORTH DR APT 440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776220",
            "telephone_number": "713-562-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BENTWORTH DR APT 440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776220",
            "telephone_number": "713-562-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGOTSAKGOTLA",
        "first_name": "LEBAONE",
        "middle_name": "LLULU",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP123544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327062101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narges Moghimi, MD
• Banan Moghrabi
• Hani Moghrabi
• Shahram Moghtader, M.D.
• Kafayat Mogoli
• Ebrahim Mogri, MD
• Huzefa Juzer Mogri, MD
• Homayoon Mohajer, D.C.
• Mahzad Mohajer
• Parrissa Mohajer, DC

• Adult Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.