Active NPI
Andrew Mwangi
- Non-emergency Medical Transport (VAN)
- South Bend, IN
National Provider Identifier
1659994572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 1657 Commerce Dr Ste 15a
South Bend, IN 46628-1547 - Phone
- (574) 339-7768
- Fax
- (574) 383-6767
- NPI assigned
- May 27, 2020
- Last updated
- Aug 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary | |
| Taxi | 344600000X | NU | ||
| Private Vehicle | 347C00000X | NU |
Addresses
Primary practice location
1657 Commerce Dr Ste 15a
South Bend, IN 46628-1547
Mailing address
1657 Commerce Dr Ste 15a
South Bend, IN 46628-1547
Phone (574) 339-7768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300036738 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.southbendtaxi.com/non-emergency-medical-transportation | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1659994572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 COMMERCE DR STE 15A",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466281547",
"telephone_number": "574-339-7768",
"fax_number": "574-383-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 COMMERCE DR STE 15A",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466281547",
"telephone_number": "574-339-7768",
"fax_number": "574-383-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MWANGI",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300036738",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.southbendtaxi.com/non-emergency-medical-transportation",
"affiliation": "N",
"endpointDescription": "Contact for NEMT",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Web & Email",
"address_1": "1657 Commerce Dr Ste 15A",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466281547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.