DR. JASPER IMBOEMBOE NGOMBA (MD) – Internal Medicine Physician, NPI 1760620975

DR. JASPER IMBOEMBOE NGOMBA (MD) is a healthcare provider. based in North attleboro, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 245843 (MA). The NPI Number for DR. JASPER IMBOEMBOE NGOMBA (MD) is 1760620975

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASPER IMBOEMBOE NGOMBA (MD)
NPI
1760620975
Phone
(774) 643-6261
Address
380 ELM ST STE 1
Enumeration Date
26 January 2009
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789376439
Graduation Year
2005 (21 years ago)
PAC ID
2163548066
Group Practice PAC ID
8729371380
Professional Enrollment ID
I20120924000657
Address ID
MA018542134LO295XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for DR. JASPER IMBOEMBOE NGOMBA (MD)

  • 380 ELM ST STE 1

    NORTH ATTLEBORO, MA 027603314

    Phone: (774) 643-6261

    Type: Mailing

  • 101 Page St

    New Bedford, MA 027403464

    Phone: (508) 973-5919

    Fax: (508) 973-5916

    Type: Location

  • 593 Eddy St

    Providence, RI 029034923

    Phone: (401) 444-3565

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100929000052IInternal MedicineRITBD
I20120924000657IInternal MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes439425$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6542$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2112$0
99239Hospital discharge day management, more than 30 minutes2020$0
99236Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 02760)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729371380View full group profile
NameSpecialtyState
-MA
Internal MedicineMA
Internal MedicineMA
-NY
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Hospitalist, Internal MedicineMA
-MA
Internal MedicineRI

Reviews

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Frequently asked questions

What is the registry number for DR. JASPER IMBOEMBOE NGOMBA (MD)?
The registry entry for DR. JASPER IMBOEMBOE NGOMBA (MD) shows NPI 1760620975.
Should I treat DR. JASPER IMBOEMBOE NGOMBA (MD) as an active provider?
Patients and plans typically see DR. JASPER IMBOEMBOE NGOMBA (MD) as active in the national extract.
How should patients interpret DR. JASPER IMBOEMBOE NGOMBA (MD)'s specialty?
The extract shows Internal Medicine Physician for DR. JASPER IMBOEMBOE NGOMBA (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. JASPER IMBOEMBOE NGOMBA (MD)?
The directory associates DR. JASPER IMBOEMBOE NGOMBA (MD) with North Attleboro, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I export DR. JASPER IMBOEMBOE NGOMBA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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