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

Last updated

Oct 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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 CenterGroup PAC ID 2961316112, shared by 7 NPIs, 15 clinicians

Ouachita Physician ServicesGroup PAC ID 1052570132, 2 clinicians

Ouachita County Medical CenterGroup PAC ID 4587641055, 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 enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ouachita County Medical Center

  • Emergency Care Clinic/Center
  • Camden, AR
  • NPI 1346354826
  Medicare reassignment Care Compare group NPD
• Ouachita Physician Services

  dba Ouachita Women's Services

  • Primary Care Clinic/Center
  • Camden, AR
  • NPI 1750651857
  Medicare reassignment Care Compare group NPD
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611
  Medicare reassignment NPD
• Bradley County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Warren, AR
  • NPI 1861519548
  Medicare reassignment NPD
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1972620649
  Medicare reassignment NPD
• Ess of El Dorado, LLC

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1861851131
  Medicare reassignment NPD
• HCC of El Dorado LLC

  • Hospitalist Physician
  • El Dorado, AR
  • NPI 1003578725
  Medicare reassignment NPD
• Highlands Hospital and Health Center

  dba Highlands Hospital Physicians

  • Family Medicine Physician
  • Connellsville, PA
  • NPI 1447443957

  Surgery

  Medicare reassignment NPD
• Bradley County Medical Center

  dba Bradley County Medical Center Rural Health Clinic

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

  • Rural Acute Care Hospital
  • Camden, AR
  • NPI 1245284769
  NPD
• Ouachita County Medical Center

  dba OCMC ExpressCare Clinic

  • Urgent Care Clinic/Center
  • Camden, AR
  • NPI 1780039206
  NPD
• Ouachita Physician Services, LLC

  dba Family Clinic of Ouachita County

  • Family Medicine Physician
  • Camden, AR
  • NPI 1467095463
  NPD

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
  Care Compare affiliation
• Ouachita County Medical Center

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

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

{
    "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": []
}

• Lydia Thompson, SLPA
• Stephanie Yolanda Thompson
• Timbland Dental
• Touch of Health Care Therapy
• Trinity Home Health of Southern Arkansas, LLC (Doctors Home Care)
• Elizabeth L Tuberville
• Macy Turner, COTA
• Twin Rivers Respiratory Care, Inc. (Ouachita Valley Respiratory Care)
• Hillary Osita Udeh, MD
• Leslie Nicole Vaughan

• Surgery Physician in Camden, AR
• Providers in Camden, AR by specialty
• 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.