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FOMUNDAM NEWNTON MBUH NP
NPI 1003464496
Nurse Practitioner - Family in Fort Worth, TX

Active since August 28, 2019PECOS Enrolled
648 E BUTLER ST, FORT WORTH, TX 76110(817) 382-0005 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 8, 2026, Aug 28, 2019 (2 updates tracked since 2019).

About Fomundam Newnton Mbuh Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOMUNDAM NEWNTON MBUH NP (NPI 1003464496) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP142762) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003464496
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameFOMUNDAM NEWNTON MBUHCredential: NP
Location Address648 E BUTLER STFort Worth, TX 76110-5523
Mailing AddressPo Box 788Aledo, TX 76008-0788
Phone(817) 382-0005
Sole ProprietorNo
Enumeration DateAugust 28, 2019
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1003464496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP142762
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP142762 (TX)
648 E BUTLER ST, Fort Worth, TX 76110
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fomundam Newnton Mbuh Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Fomundam Mbuh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Noaak Healthcare LLC
Same address
Family Medicine
648 E BUTLER ST
Fort Worth, TX 76110
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1578040580 (817) 382-0005

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOAAK HEALTHCARE LLC
Family Medicine
648 E BUTLER ST
FORT WORTH, TX 76110
Tarrant County (817) 382-0005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fomundam Mbuh's NPI number?

The NPI number for Fomundam Mbuh is 1003464496. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Fomundam Mbuh located?

Fomundam Mbuh practices at 648 E Butler St, Fort Worth, TX 76110. The listed phone number is (817) 382-0005.

What is Fomundam Mbuh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fomundam Mbuh enrolled in Medicare?

Yes. Fomundam Mbuh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fomundam Mbuh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fomundam Mbuh reassigns Medicare benefits to Noaak Healthcare LLC (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fomundam Mbuh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fomundam Mbuh accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Fomundam Mbuh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fomundam Mbuh was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.