Individual provider Active NPI

Evariste B Ngankeu

  • Internal Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1700063294
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N3941 Issued in TX
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

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4301088464MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Oct 8, 2023 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.

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.

Verify at the official NPI Registry.