Cimenga M Tshibaka, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E-16004 Issued in AR

Practice address

415 Hospital Dr Ste 3
Camden, AR 71701-4651

Phone

(870) 837-2888

Fax

(870) 837-2892

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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.

• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611

  AR

  Medicare reassignment Care Compare group NPD
• Bradley County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Warren, AR
  • NPI 1861519548

  AR

  Medicare reassignment Care Compare group NPD
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1972620649

  AR

  Medicare reassignment Care Compare group NPD
• Ouachita County Medical Center

  • Emergency Care Clinic/Center
  • Camden, AR
  • NPI 1346354826

  AR

  Medicare reassignment Care Compare group NPD
• Ouachita Physician Services

  • Primary Care Clinic/Center
  • Camden, AR
  • NPI 1750651857

  AR

  Medicare reassignment Care Compare group NPD
• Ess of El Dorado, LLC

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1861851131

  AR

  Medicare reassignment NPD
• HCC of El Dorado LLC

  • Hospitalist Physician
  • El Dorado, AR
  • NPI 1003578725

  AR

  Medicare reassignment NPD
• Highlands Hospital and Health Center

  • Family Medicine Physician
  • Connellsville, PA
  • NPI 1447443957

  PA, Surgery

  Medicare reassignment NPD
• Bradley County Medical Center

  • Rural Health Clinic/Center
  • Warren, AR
  • NPI 1174044697
  Care Compare group NPD
• Ouachita County Medical Center

  • Rural Acute Care Hospital
  • Camden, AR
  • NPI 1245284769
  Care Compare group NPD
• Arbor Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Camden, AR
  • NPI 1265471064
  Care Compare group
• Bradley County Medical Center

  • Home Health Agency
  • Warren, AR
  • NPI 1184750507
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611

  Hospital

  Care Compare affiliation
• Ouachita County Medical Center

  • Rural Acute Care Hospital
  • Camden, AR
  • NPI 1245284769

  Hospital

  Care Compare affiliation

Specialty

General Surgery

Education

University of Maryland School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley County Medical Center 15 clinicians

Ouachita Physician Services 2 clinicians

Ouachita County Medical Center 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050
• Bradley County Medical Center Hospital, Warren, AR, CCN 041327
• CCN 040784 Hospital, CCN 040784

Merit-based Incentive Payment System (MIPS)

Final score

82.37 of 100Reported as group

Quality

71.5

Improvement activities

40

Cost

75.74

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in PA, AR2 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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/bradley-49d5c27e
• FHIR API: https://fhir4.healow.com/fhir/r4/BHDAED/Endpoint/BHDAED

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2022.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1851459697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "855-498-6768",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR STE 3",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014651",
            "telephone_number": "870-837-2888",
            "fax_number": "870-837-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSHIBAKA",
        "first_name": "CIMENGA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-16004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Camden, AR
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.