Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMMANUELLA EGBONIM MPH
NPI 1255969598
Internal Medicine - Cardiovascular Disease in Fort Worth, TX

Q: What is Emmanuella Egbonim's NPI number?

The NPI number for Emmanuella Egbonim is 1255969598. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Emmanuella Egbonim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since March 31, 2020PECOS Enrolled

600 S MAIN ST, FORT WORTH, TX 76104(817) 882-2420 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 15, 2026, Sep 4, 2026, Mar 31, 2020 (3 updates tracked since 2020).

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About Emmanuella Egbonim Mph NPPES

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

EMMANUELLA EGBONIM MPH (NPI 1255969598) is an individual cardiovascular disease provider in Fort Worth, Texas, licensed in Texas (U3204) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255969598

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameEMMANUELLA EGBONIMCredential: MPH

Location Address600 S MAIN STFort Worth, TX 76104-2410

Mailing AddressPo Box 845347Dallas, TX 75284-7208

Phone(817) 882-2420

Sole ProprietorNo

Enumeration DateMarch 31, 2020

Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1255969598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · U3204

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

600 S MAIN ST, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmanuella Egbonim Mph 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 76104 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

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