Individual provider Active NPI

Richard Ekwoge Ngole, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1104376177
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
132125 Issued in TX
Practice address
7603 Culebra Rd
San Antonio, TX 78251-1437
Phone
(210) 680-0299
NPI assigned
Oct 13, 2016
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 132125 TX Primary

Addresses

Primary practice location

7603 Culebra Rd
San Antonio, TX 78251-1437

Mailing address

7603 Culebra Rd
San Antonio, TX 78251-1437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171002002689 TX Practitioner - Nurse Practitioner 3476611047 Reassigns benefits to 3 organizations
Practice locations: Houston, TX
I20190509000319 NM Practitioner - Nurse Practitioner 3476611047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Hospitalists PLLCGroup PAC ID 4486041472, 15 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-4411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
86.32
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
132125TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Hospitalists PLLC CurrentSince Jan 10, 2025 Accepting new patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Mar 12, 2019 Accepting new patients
Hni Medical Services CurrentSince Oct 1, 2017 Accepting new patients
House Visiting Doctors LLC Current Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital CurrentSince Mar 12, 2019 Accepting new patients

Locations

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

14200 Gulf Fwy
Ste 102
Houston, TX 77034
Phone (713) 943-9933

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

Interoperability endpoints

  • Direct secure messaging: rngole457786@direct.stlukeshealth.org

Organizations & group practices 5

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.

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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1104376177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511437",
            "fax_number": "210-680-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511437",
            "telephone_number": "210-680-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOLE",
        "first_name": "RICHARD",
        "middle_name": "EKWOGE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-13",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "132125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.