RICHARD EKWOGE NGOLE (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1104376177

RICHARD EKWOGE NGOLE (NURSE PRACTITIONER) is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 132125 (TX). The NPI Number for RICHARD EKWOGE NGOLE (NURSE PRACTITIONER) is 1104376177

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD EKWOGE NGOLE (NURSE PRACTITIONER)
NPI
1104376177
Phone
(832) 275-5412
Address
8106 AZURE BROOK DR
Enumeration Date
13 October 2016
Last Update Date
23 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9792974411
Graduation Year
2014 (12 years ago)
PAC ID
3476611047
Group Practice PAC ID
4486041472
Professional Enrollment ID
I20171002002689
Address ID
TX775665674LA100XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for RICHARD EKWOGE NGOLE (NURSE PRACTITIONER)

  • 8106 AZURE BROOK DR

    HOUSTON, TX 770892471

    Phone: (832) 275-5412

    Fax: (713) 378-4477

    Type: Mailing

  • Thai Jasmine, 10900, Kingspoint Road, Houston, Harris County, Texas, 77075, United States

    HOUSTON, TX 770754120

    Phone: (713) 378-4488

    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: 2019-05-09

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
I20171002002689INurse PractitionerTXTBD
I20190509000319INurse PractitionerNMTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3333$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 77089)

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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: 4486041472View full group profile
NameSpecialtyState
Internal Medicine, Hospitalist, Internal MedicineVA
Emergency Medicine, Family Practice, HospitalistPA
Physician AssistantTX
Nurse PractitionerTX
Hospitalist, Internal MedicineAZ

Reviews

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Frequently asked questions

What is the 10-digit NPI for RICHARD EKWOGE NGOLE (NURSE PRACTITIONER)?
RICHARD EKWOGE NGOLE (NURSE PRACTITIONER) — NPI 1104376177 — is the standard way to identify this listing.
Does CMS list RICHARD EKWOGE NGOLE (NURSE PRACTITIONER) as active?
Yes — RICHARD EKWOGE NGOLE (NURSE PRACTITIONER) is active in the NPI listing used on this page.
What is RICHARD EKWOGE NGOLE (NURSE PRACTITIONER)'s specialty?
The listing groups RICHARD EKWOGE NGOLE (NURSE PRACTITIONER) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for RICHARD EKWOGE NGOLE (NURSE PRACTITIONER)?
RICHARD EKWOGE NGOLE (NURSE PRACTITIONER)'s geographic hint is Houston, Texas in our summary view.
Is the information about RICHARD EKWOGE NGOLE (NURSE PRACTITIONER) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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