Active NPI
Noaak Healthcare LLC
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1578040580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AP132859
- Legal business name
- NOAAK HEALTHCARE LLC
- Practice address
- 648 E Butler St
Fort Worth, TX 76110-5523 - Phone
- (817) 382-0005
- NPI assigned
- Jul 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Khen Zama Mbuh, NP
- Title
- Owner
- Phone
- (443) 694-3931
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP132859 | TX | Primary |
Addresses
Primary practice location
648 E Butler St
Fort Worth, TX 76110-5523
Mailing address
PO Box 788
Aledo, TX 76008-0788
Phone (817) 382-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181213001768 | TX | Part B Supplier - Clinic/Group Practice | 8921343393 |
Receives reassigned benefits from 2 practitioners Practice locations: Fort Worth, TX |
National Provider Directory
National Provider DirectoryLocations
4759 South Fwy
Ste 101
Ft Worth, TX 76115
Phone (817) 382-0005
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Arlington, TX
- NPI 1609138411
-
- Foot & Ankle Surgery Podiatrist
- Arlington, TX
- NPI 1083270979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778198400000",
"number": "1578040580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "ALEDO",
"state": "TX",
"postal_code": "760080788",
"telephone_number": "817-382-0005",
"fax_number": "682-334-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 E BUTLER ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761105523",
"telephone_number": "817-382-0005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOAAK HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-23",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A",
"authorized_official_last_name": "ZAMA MBUH",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "KHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-694-3931",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "AP132859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.