SAJA B MBOGE
NPI 1063096469
Social Worker - Clinical in Southaven, MS
About Saja B Mboge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAJA B MBOGE (NPI 1063096469) is an individual clinical provider in Southaven, Mississippi, licensed in Delaware (Q3-0010588) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Saja B Mboge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Saja Mboge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bethesda, MD 20814
- Reassigned Medicare billing, Delaware and Tennessee enrollments
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 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
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 Saja Mboge's NPI number?
The NPI number for Saja Mboge is 1063096469. It was assigned to this individual provider in the NPPES registry on May 11, 2021.
Where is Saja Mboge located?
Saja Mboge practices at 340 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 510-5387.
What is Saja Mboge's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Saja Mboge enrolled in Medicare?
Yes. Saja Mboge is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Saja Mboge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Saja Mboge reassigns Medicare benefits to Uplift Behavioral Health PC (Bethesda, MD). 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 Saja Mboge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Saja Mboge accept?
Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Highmark Blue Cross Blue Shield Delaware and UnitedHealthcare list Saja Mboge 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 Saja Mboge was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Saja B Mboge · NPI 1063096469
Clinical provider in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since May 11, 2021.
## Identity
- **NPI:** 1063096469 (Entity type: Individual)
- **Enumerated:** May 11, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** Q3-0010588 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 340 STATELINE RD W, Southaven, MS 38671-1610
- **Phone:** (662) 510-5387 · **Fax:** (662) 342-0782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Uplift Behavioral Health PC (NPI 1629740410, Bethesda, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063096469) · Data from the CMS NPPES public registry.