Individual provider Active NPI

Uchenne Evans Mbaraonye, DO

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1629633235
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V4708 Issued in TX
Practice address
3521 N Fourth St Ste 100
Longview, TX 75605
Phone
(903) 488-2273
Fax
(773) 825-8352
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V4708 TX Primary

Addresses

Primary practice location

3521 N Fourth St Ste 100
Longview, TX 75605

Mailing address

2309 Gilmer Rd Ste 101
Longview, TX 75604-2133
Phone (903) 488-2273

Other practice location 1

1000 N High St Ste 21
Longview, TX 75601-5105
Phone (903) 488-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220823000941 MO Practitioner - Internal Medicine 4789067844 Reassigns benefits to 2 organizations
I20250301000014 TX Practitioner - Internal Medicine 4789067844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

1000 N High St
Suite 21
Longview, TX 75601-5105
Phone (903) 488-2273

323 E Hawkins Pkwy
Longview, TX 75605-8153
Phone (903) 544-6700

Hospital & facility affiliations

  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luckycharm Primary Care PLLC Internal Medicine CurrentSince Oct 17, 2025 Accepting new patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Jan 25, 2025 Accepting new patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Parkland Health Center Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

1103 W Liberty St
Farmington, MO 63640
Phone (573) 760-8488

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

915 S Eastman Rd
Ste 4
Longview, TX 75602
Phone (903) 488-2273

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

3521 4th St
Ste 100
Longview, TX 75605
Phone (903) 448-2273

1000 N High St
Ste 21
Longview, TX 75601
Phone (903) 488-2273

2309 Gilmer Rd
Ste 101
Longview, TX 75604
Phone (318) 423-7536

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

Interoperability endpoints

  • FHIR API: https://pmh-vmhaiku-01.pmh.org/FHIR/PARKLAND/api/FHIR/R4
  • Direct secure messaging: umbaraonye539393@christushealth.direct-ci.net
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: uchenne.mbaraonye@1046420160184324.direct.elationemr.com

Organizations & group practices 6

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 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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1629633235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 GILMER RD STE 101",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042133",
            "telephone_number": "903-488-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 N FOURTH ST STE 100",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-488-2273",
            "fax_number": "773-825-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N High St Ste 21",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015105",
            "country_code": "US",
            "telephone_number": "903-488-2273",
            "fax_number": "773-825-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBARAONYE",
        "first_name": "UCHENNE",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V4708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.