Individual provider Active NPI

Ebenezer A Nii-Moi, M.D.

  • Obstetrics & Gynecology Physician
  • Longview, TX
National Provider Identifier
1396930376
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q8114 Issued in TX
Practice address
705 E Marshall Ave Ste 3000
Longview, TX 75601-5661
Phone
(906) 758-2610
Fax
(903) 758-7081
NPI assigned
Sep 12, 2007
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Q8114 TX Primary
Obstetrics & Gynecology Physician 207V00000X MD431796 PA
Obstetrics & Gynecology Physician 207V00000X MD-57379 IA

Addresses

Primary practice location

705 E Marshall Ave Ste 3000
Longview, TX 75601-5661

Mailing address

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 1

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

Other practice location 2

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 3

825 Medical Dr Ste A
Tyler, TX 75701-2143
Phone (903) 758-2610

Other identifiers 2

IdentifierTypeStateIssuer
3651184-01MedicaidTX
8GK198OtherTXBCBS TX

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
I20161205000792 TX Practitioner - Obstetrics/Gynecology 9931299062 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

2460 N Ih 35 E
225 Baylor Scott and White Orthopedic Special
Waxahachie, TX 75165-5273
Phone (469) 800-9790

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD431796PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis County Coalition for Health Options CurrentSince Sep 23, 2024 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 17, 2024 Accepting new patients
Invogue Total Womens Healthcare PLLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince Jan 27, 2020 Accepting new patients
Ellis County Coalition for Health Options CurrentSince Sep 23, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 17, 2024 Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Current Accepting new patients
Longview Wellness Center, Inc Obstetrics & Gynecology Current Accepting new patients
Longview Wellness Center, Inc Obstetrics & Gynecology CurrentSince Jan 27, 2020 Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Past Accepting new patients
Questcare Obstetrics PLLC Obstetrics & Gynecology Past Accepting new patients
Baylor Medical Center at Waxahachie Past Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Jan 2, 2022 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Dec 16, 2020 Accepting new patients
Demc, Inc Past Accepting new patients
McAllen Oncology PA PastSince Jan 2, 2017 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

11167 La Quinta Pl
El Paso, TX 79936
Phone (915) 591-4453

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

705 E Marshall Ave
Ste 3000
Longview, TX 75601
Phone (903) 230-2608

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

825 Medical Dr
Ste A
Tyler, TX 75701

411 E Jefferson St
Waxahachie, TX 75165
Phone (972) 923-2440

572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440

Interoperability endpoints

  • Direct secure messaging: ebenezer.niimoi.p1@direct.hopehealthtx.nextgenshare.com
  • Direct secure messaging: ebenezernii-moi@wp.medalliesdirect.net
  • Direct secure messaging: eniimoi1308565@direct.sw.org
  • FHIR API: https://api.platform.athenahealth.com/8862/brand/1/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1396930376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015602",
            "telephone_number": "903-758-2610",
            "fax_number": "903-212-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015661",
            "telephone_number": "906-758-2610",
            "fax_number": "903-758-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-247-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015602",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012143",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NII-MOI",
        "first_name": "EBENEZER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q8114",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD431796",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "MD-57379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3651184-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8GK198",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.