Individual provider Active NPI

Irene Yoba C Ngantcha, MD

  • Internal Medicine Physician
  • Mexia, TX
National Provider Identifier
1184806549
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101247636 Issued in VA
Practice address
514 S Bonham St
Mexia, TX 76667-3600
Phone
(254) 562-9321
Fax
(254) 562-3570
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PGY.1.TUL-MI LA
Internal Medicine Physician 207R00000X 0101247636 VA Primary

Addresses

Primary practice location

514 S Bonham St
Mexia, TX 76667-3600

Mailing address

514 S Bonham St
Mexia, TX 76667-3600
Phone (254) 562-9321

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
I20130429000009 TX Practitioner - Internal Medicine 9032250436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health and Human Services CommissionGroup PAC ID 2163795824, 138 clinicians

Practice addresses (Care Compare)

540 Chapel Dr
Mexia, TX 76667-3490
Phone (254) 562-1750

Hospital & facility affiliations

  • Limestone Medical Center Hospital, Groesbeck, TX, CCN 451303
  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PGY.1.TUL-MILAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Current Accepting new patients
Mexia Principal Healthcare Limited Partnership CurrentSince Jan 9, 2013 Accepting new patients
Mexia Principal Healthcare Limited Partnership Current Accepting new patients
Health and Human Services Commission CurrentSince Jan 1, 2022 Accepting new patients
Health and Human Services Commission Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Mexia Principal Healthcare Limited Partnership Internal Medicine CurrentSince Jan 9, 2013 Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

514 S Bonham St
Mexia, TX 76667
Phone (254) 562-9321

540 Chapel Dr
Mexia, TX 76667
Phone (254) 562-1750

101 Anthony Dr
Teague, TX 75860
Phone (254) 739-5655

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 7

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 2

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1184806549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BONHAM ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673600",
            "telephone_number": "254-562-9321",
            "fax_number": "254-562-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BONHAM ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673600",
            "telephone_number": "254-562-9321",
            "fax_number": "254-562-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGANTCHA",
        "first_name": "IRENE",
        "middle_name": "YOBA C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "PGY.1.TUL-MI",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101247636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexia, TX

Sources for this page

Verify at the official NPI Registry.