Emmanuel Kumbo Mikobi, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

U4571 Issued in TX

Practice address

6907 N Capital of Texas Hwy Ste 240
Austin, TX 78731-1710

Phone

(512) 362-6789

Fax

(737) 272-6740

NPI assigned

Apr 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmed Networks, Inc.Group PAC ID 6002091261, 116 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David's South Austin Medical Center Hospital, Austin, TX, CCN 450713

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emmanuel.mikobi@wellmed.eclinicaldirectplus.com

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.

• Wellmed Networks, Inc.

  dba WellMed Cardiology

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1386948677
  Medicare reassignment Care Compare group NPD
• St. David's Healthcare Partnership, L.P., LLP

  dba St. David's South Austin Medical Center

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1679528889
  NPD (past)
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  NPD (past)

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

• St. David's Healthcare Partnership, L.P., LLP

  dba St. David's South Austin Medical Center

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1679528889
  Care Compare affiliation

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1922637412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 IH 10 W STOP 2-4090",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579509",
            "telephone_number": "210-762-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 N CAPITAL OF TEXAS HWY STE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311710",
            "telephone_number": "512-362-6789",
            "fax_number": "737-272-6740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19500 Ih 10 W Stop 2-4090",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782579509",
            "country_code": "US",
            "telephone_number": "210-762-3662",
            "fax_number": "210-617-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKOBI",
        "first_name": "EMMANUEL",
        "middle_name": "KUMBO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "U4571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Mik, RDN
• Sabrina Quintanilla Mikan, ACNS-BC
• Mikeal Love, M.D, PA
• Molly Mikeska
• Summer Lyn Mikkelsen, LMSW
• Jeanette Mikulik
• Alicia Louise Milam, PH.D.
• Amanda Lea Milam, FNP-C
• Margaret Brooks Milam, LCSW
• Steven Anthony Milan, LCSW

• Hospitalist Physician in Austin, TX
• Providers in Austin, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.