Individual provider Active NPI

Lynda Ebere Mbah, M.D

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1669799060
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4201 Issued in TX
Practice address
5285 Independence Pkwy Ste 400
Frisco, TX 75035-4646
Phone
(469) 353-2400
Fax
(469) 353-2401
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P4201 TX Primary

Addresses

Primary practice location

5285 Independence Pkwy Ste 400
Frisco, TX 75035-4646

Mailing address

5285 Independence Pkwy Ste 400
Frisco, TX 75035-4646
Phone (469) 353-2400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015001765 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3173793890 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5285 Independence Pkwy
Suite 400
Frisco, TX 75035-4646
Phone (469) 353-2400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness & Care Group of Texas, Inc. CurrentSince Sep 12, 2017 Accepting new patients
Ess of South Texas LLC CurrentSince May 1, 2015 Accepting new patients
Nghi B Phan MD, PA Past Accepting new patients

Locations

21175 Tomball Pkwy
Houston, TX 77070
Phone (281) 251-5544

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

22625 State Highway 249
Ste 450
Tomball, TX 77375
Phone (214) 506-1136

Interoperability endpoints

  • Direct secure messaging: lynda.mbah@mbah.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIGBD/Endpoint/CEIGBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1669799060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 INDEPENDENCE PKWY STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354646",
            "telephone_number": "469-353-2400",
            "fax_number": "469-353-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 INDEPENDENCE PKWY STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354646",
            "telephone_number": "469-353-2400",
            "fax_number": "469-353-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAH",
        "first_name": "LYNDA",
        "middle_name": "EBERE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.