DR. JACKSON MOSONGO OMBABA (M.D.) – Emergency Medicine Physician, NPI 1285731521
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
Provider Addresses for DR. JACKSON MOSONGO OMBABA (M.D.)
10700 McPherson Rd
Laredo, TX 780456268
Phone: (956) 523-2000
Fax: (956) 523-0444
Type: Location
2901 Jaime Zapata Memorial Hwy
Laredo, TX 780435061
Phone: (956) 523-2000
Fax: (956) 523-0444
Type: Location
El Paso Post Office, 8401, Boeing Drive, Cielo Vista, El Paso, El Paso County, Texas, 79925, United States
EL PASO, TX 799959520
Phone: (915) 545-9795
Fax: (915) 545-9799
Type: Mailing
Texas Tech Medical Center El Paso, 4801, Alberta Avenue, El Paso, El Paso County, Texas, 79905, United States
EL PASO, TX 79905
Phone: (915) 545-7507
Fax: (915) 545-9799
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: 2020-10-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060217000120 | I | Emergency Medicine | TX | TBD |
| I20201005001723 | I | Emergency Medicine | NM | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 132 | 128 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 130 | 128 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 25 | 25 | $0 |
Insurance plans in this area (ZIP 78045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Emergency Medicine | PA | |
| - | TX | |
| Family Practice, Emergency Medicine, Pain Management | TX | |
| Emergency Medicine, Internal Medicine | TX |
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