Active NPI
Lydia Oluwatoyin Njamfa, M.D.
- Family Medicine Physician
- Richardson, TX
National Provider Identifier
1619989142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L0884
- Practice address
- 708 W Spring Valley Rd
Richardson, TX 75080-7216 - Phone
- (214) 570-9400
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L0884 | TX | Primary |
Addresses
Primary practice location
708 W Spring Valley Rd
Richardson, TX 75080-7216
Mailing address
708 W Spring Valley Rd
Suite 399
Richardson, TX 75080-7216
Phone (214) 570-9400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10017340 | Other | TX | AMERIGROUP |
| 1703118-01 | Medicaid | TX | |
| 1703118-02 | Medicaid | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050413000521 | TX | Practitioner - Family Practice | 4587601364 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primamed Physicians PLLC | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1164494068
-
- Urgent Care Clinic/Center
- Plano, TX
- NPI 1619922549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1619989142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 W SPRING VALLEY RD",
"address_2": "SUITE 399",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750807216",
"telephone_number": "214-570-9400",
"fax_number": "972-792-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 W SPRING VALLEY RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750807216",
"telephone_number": "214-570-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NJAMFA",
"first_name": "LYDIA",
"middle_name": "OLUWATOYIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L0884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10017340",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1703118-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1703118-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.