NPIMap

Individual provider Active NPI

Felicia Eno Ekpo, D.O.

  • Dermatology Physician
  • Garland, TX
National Provider Identifier
1295128759
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22505 Issued in ND
Practice address
375 Cedar Sage Dr Ste 200
Garland, TX 75040-2989
Phone
(469) 809-4247
NPI assigned
Mar 9, 2015
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22505 ND Primary

Addresses

Primary practice location

375 Cedar Sage Dr Ste 200
Garland, TX 75040-2989

Mailing address

375 Cedar Sage Dr Ste 200
Garland, TX 75040-2989
Phone (469) 809-4247

Other practice location 1

1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250609001041 ND Practitioner - Dermatology 3375839475 Reassigns benefits to 1 organization
I20251203003796 SD Practitioner - Dermatology 3375839475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oklahoma State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-8900

4150 5TH St
Rapid City, SD 57701-6022
Phone (605) 755-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions252
Removal or shaving of skin growth1-10
Skin biopsy26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22505NDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC CurrentSince Jun 23, 2025 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Sep 16, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Sep 16, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Doctor Edges CurrentSince Jun 3, 2025 Accepting new patients
Innovis Health, LLC CurrentSince Jun 23, 2025 Accepting new patients
Grace Elizabeth Brown, MD PA Past Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300

375 Cedar Sage Dr
Ste 200
Garland, TX 75040
Phone (469) 809-4247

Organizations & group practices 8

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1295128759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 CEDAR SAGE DR STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402989",
            "telephone_number": "469-809-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CEDAR SAGE DR STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402989",
            "telephone_number": "469-809-4247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 University Dr S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581034940",
            "country_code": "US",
            "telephone_number": "701-364-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKPO",
        "first_name": "FELICIA",
        "middle_name": "ENO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "22505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.