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KIMBERLI OMWANGHE M.D.
NPI 1124413596
Family Medicine in Mansfield, TX

Active since April 02, 2015PECOS Enrolled
221 REGENCY PKWY STE 121, MANSFIELD, TX 76063(817) 477-5884(817) 453-8091 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberli Omwanghe M.d. NPPES

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

KIMBERLI OMWANGHE M.D. (NPI 1124413596) is an individual family medicine provider in Mansfield, Texas, licensed in Texas (R8448) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124413596
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLI OMWANGHECredential: M.D.
Location Address221 REGENCY PKWY STE 121Mansfield, TX 76063
Mailing Address221 Regency Pkwy Ste 121Mansfield, TX 76063-5379 · (817) 477-5884 · Fax (817) 453-8091
Phone(817) 477-5884
Fax(817) 453-8091
Sole ProprietorNo
Enumeration DateApril 2, 2015
Last NPPES UpdateSeptember 4, 2018
✔ NPI 1124413596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · R8448
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License E-10387 (AR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
221 REGENCY PKWY STE 121, Mansfield, TX 76063
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Secondary Practice Locations 2

Location 1661 E Main St Ste 900Midlothian, TX 76065-3343 · Phone (469) 612-5250 · Fax (469) 612-5251
Location 2300 E 6th StTexarkana, AR 71854-5207 · Phone (870) 779-6000 · Fax (870) 779-6093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberli Omwanghe M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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.

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 Kimberli Omwanghe's NPI number?

The NPI number for Kimberli Omwanghe is 1124413596. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Kimberli Omwanghe located?

Kimberli Omwanghe practices at 221 Regency Pkwy Ste 121, Mansfield, TX 76063. The listed phone number is (817) 477-5884.

What is Kimberli Omwanghe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberli Omwanghe enrolled in Medicare?

Yes. Kimberli Omwanghe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberli Omwanghe was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.