Individual provider Active NPI

Ellen Ngo, M.D

  • Ophthalmology Physician
  • Plano, TX
National Provider Identifier
1134411044
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q3067 Issued in TX
Practice address
4100 W 15TH St
Suite 210
Plano, TX 75093-5801
Phone
(972) 867-7777
Fax
(972) 519-1679
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Q3067 TX Primary

Addresses

Primary practice location

4100 W 15TH St
Suite 210
Plano, TX 75093-5801

Mailing address

4100 W 15TH St
Suite 210
Plano, TX 75093-5801
Phone (972) 867-7777

Other identifiers 1

IdentifierTypeStateIssuer
344364001MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150319001718 TX Practitioner - Ophthalmology 1759608383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas a & M University System, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Jacob Frazee MD PAGroup PAC ID 6204990005, 3 clinicians

Practice addresses (Care Compare)

4100 W 15TH St
210 North Texas Eye Center
Plano, TX 75093-5801
Phone (972) 867-7777

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Jacob Frazee MD PA Ophthalmology CurrentSince Apr 1, 2015 Accepting new patients
West Plano Optical Company PastSince Apr 1, 2015 Accepting new patients

Locations

751 Hebron Pkwy
Ste 230
Lewisville, TX 75057
Phone (972) 316-0804

4100 W 15th St
Ste 210
Plano, TX 75093
Phone (972) 867-7777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1134411044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935801",
            "telephone_number": "972-867-7777",
            "fax_number": "972-519-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935801",
            "telephone_number": "972-867-7777",
            "fax_number": "972-519-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q3067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344364001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.