Justus Mogaka

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1216575 Issued in MO

Practice address

4604 W Pioneer Dr Apt 347
Irving, TX 75061-3845

Phone

(254) 577-9814

NPI assigned

Sep 12, 2017

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 MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO, Nurse Practitioner

  Medicare reassignment NPD
• Carebridge Services LLC

  • Home Health Agency
  • Blue Springs, MO
  • NPI 1609789247
  Authorized official Same address or phone

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1932628831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 W PIONEER DR APT 347",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750613845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 W PIONEER DR APT 347",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750613845",
            "telephone_number": "254-577-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGAKA",
        "first_name": "JUSTUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "F1216575",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F1216575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Modarelli, LCSW, LCDC
• Deborah Mode, MS, CCC-SLP
• Bhumika Hiral Modi
• Harmony Moffett
• Melinda Moffitt, PA-C
• Yousuf Mohamad
• Hannah Nur Mohamed, BCBA
• Ikram Saeed Mohamed
• Mohamed Mohamed
• Muna Mohamed

• Family Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.