Simeon Ngishu, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP139942 Issued in TX

Practice address

9250 Amberton Pkwy
Dallas, TX 75243-3224

Phone

(682) 236-3656

NPI assigned

Dec 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians

Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sngishu71742@direct.texashealth.org
• FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
• Direct secure messaging: simeon.ngishu@ushv.eclinicaldirectplus.com

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.

• Meridian Health Partners PLLC

  • Internal Medicine Physician
  • Liberty Hill, TX
  • NPI 1215533807
  Medicare reassignment Care Compare group NPD
• Meridian Health Post Acute PLLC

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1609731819
  Medicare reassignment Care Compare group NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment Care Compare group
• Fort Worth Heart, P.a.

  • Medical Specialty Clinic/Center
  • Fort Worth, TX
  • NPI 1801939244
  Medicare reassignment NPD
• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620
  Medicare reassignment NPD
• Heartplace, PLLC

  dba HeartPlace

  • Cardiac Rehabilitation Registered Nurse
  • Arlington, TX
  • NPI 1033943394
  NPD
• Questcare Matrix, PLLC

  • Emergency Medicine Physician
  • Grapevine, TX
  • NPI 1316295066
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053767897
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Heartplace, PLLC

  • Cardiovascular Disease Physician
  • Franklin, TN
  • NPI 1245490747
  NPD
• Heartplace, PLLC

  • Cardiovascular Disease Physician
  • Franklin, TN
  • NPI 1437160215
  NPD

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1629540497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MISTLETOE BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044048",
            "telephone_number": "817-338-1300",
            "fax_number": "817-335-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433224",
            "telephone_number": "682-236-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGISHU",
        "first_name": "SIMEON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP139942",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP139942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394063701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sngishu71742@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9250 Amberton Pkwy",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752433224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathaniel NG, M.D.
• Timothy NG, MCN, RDN, LD
• Yuk Hui NG, M.D.
• Divin Ngabonziza
• Derek Ngai, MD
• Ngo & Garces Pediatric Dentistry, PLLC (&Smiles Pediatric Dentistry)
• Alan Ngo, PHARM.D.
• Anh Q Ngo, DDS
• Anh Quynh Ngo, MD
• Brenda Ngo

• Acute Care Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.