Individual provider Active NPI

Gwendoline Ngankeu Menga, DO

  • Rheumatology Physician
  • Conroe, TX
National Provider Identifier
1447496047
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
N8040 Issued in TX
Practice address
3068 College Park Dr Ste a
Conroe, TX 77384-8002
Phone
(832) 821-5550
Fax
(936) 207-4109
NPI assigned
Jan 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X N8040 TX Primary
Rheumatology Physician 207RR0500X DO.000169 LA

Addresses

Primary practice location

3068 College Park Dr Ste a
Conroe, TX 77384-8002

Mailing address

3068 College Park Dr Ste a
Conroe, TX 77384-8002
Phone (832) 821-5550

Other practice location 1

17191 St Lukes Way
Suite 220
The Woodlands, TX 77384-8047
Phone (281) 889-8957

Other identifiers 5

IdentifierTypeStateIssuer
333699202MedicaidTX
8FD753OtherTXBCBS
08532005MedicaidMS
333699201MedicaidTX
1944700MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gwendoline.menga@prime.eclinicaldirect.com

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
I20130114000221 TX Practitioner - RheumatologyPractitioner - Internal Medicine 9931379500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17191 St Lukes Way
Suite 220
The Woodlands, TX 77384-8047
Phone (281) 889-8957

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as individual
Quality
81.27
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Rheumatology Clinic of Houston PLLC Rheumatology CurrentSince Jun 1, 2015 Accepting new patients

Locations

1485 FM 1960 Bypass Rd E
Ste 360
Humble, TX 77338
Phone (281) 783-6856

17191 St Lukes Way
Ste 220
The Woodlands, TX 77384
Phone (281) 889-8957

3068 College Park Dr
Ste A
The Woodlands, TX 77384
Phone (281) 889-8957

Interoperability endpoints

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

Organizations & group practices 1

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 8

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": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1447496047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 COLLEGE PARK DR STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848002",
            "telephone_number": "832-821-5550",
            "fax_number": "936-207-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 COLLEGE PARK DR STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848002",
            "telephone_number": "832-821-5550",
            "fax_number": "936-207-4109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17191 St Lukes Way",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773848047",
            "country_code": "US",
            "telephone_number": "281-889-8957",
            "fax_number": "832-595-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGA",
        "first_name": "GWENDOLINE",
        "middle_name": "NGANKEU",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "N8040",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "DO.000169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333699202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FD753",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08532005",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333699201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1944700",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwendoline.menga@prime.eclinicaldirect.com",
            "affiliation": "N",
            "address_1": "17191 St Lukes Way",
            "address_2": "Suite 220",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773848047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.