Active NPI
Evariste B Ngankeu
- Internal Medicine Physician
- Grand Prairie, TX
National Provider Identifier
1700063294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N3941
- Practice address
- 3227 England Pkwy
Grand Prairie, TX 75054-6721 - Phone
- (240) 462-9734
- NPI assigned
- Jan 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301088464 | MI | |
| Internal Medicine Physician | 207R00000X | N3941 | TX | Primary |
Addresses
Primary practice location
3227 England Pkwy
Grand Prairie, TX 75054-6721
Mailing address
3227 England Pkwy
Grand Prairie, TX 75054-6721
Phone (240) 462-9734
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088464 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GS Physician Services | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Past | Accepting new patients |
| Apogee Medical Group Texas PA | Internal Medicine | Past | Accepting new patients |
| Harker Heights Physician Services PA | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
- Hospitalist Physician
- Harker Heights, TX
- NPI 1851659510
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1558318071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1700063294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3227 ENGLAND PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750546721",
"telephone_number": "240-462-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3227 ENGLAND PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750546721",
"telephone_number": "240-462-9734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGANKEU",
"first_name": "EVARISTE",
"middle_name": "B",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301088464",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.