NDIANABASI MBRIDE MD
NPI 1316479033
Family Medicine in Memphis, TN

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
3889 PARK AVE, MEMPHIS, TN 38111(901) 453-4303(901) 221-2284 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2023, Sep 23, 2021, Dec 11, 2020 and 4 more (7 updates tracked since 2017).

About Ndianabasi Mbride Md NPPES

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

NDIANABASI MBRIDE MD (NPI 1316479033) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (61737) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316479033
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNDIANABASI MBRIDECredential: MD
Location Address3889 PARK AVEMemphis, TN 38111-6634
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-4997
Fax(901) 221-2284
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2017
Last NPPES UpdateApril 4, 20237 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
NPI 1316479033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TN · 61737 Licensed in TX · T2920
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.
3889 PARK AVE, Memphis, TN 38111

Secondary Practice Locations 2

Location 1764 Lakeland DrJackson, MS 39216-4651 · Phone (601) 984-6800 · Fax (601) 984-6811
Location 215655 Cypress Wood Medical Dr Ste 100Houston, TX 77014-1487 · Phone (713) 442-1700

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ndianabasi Mbride Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426013657
PECOS Enrollment IDI20211209000776
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 38111 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 5

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

Nurse Practitioner (Family)
3889 PARK AVE
MEMPHIS, TN 38111
Physician Assistant (Medical)
3889 PARK AVE
MEMPHIS, TN 38111
Social Worker (Clinical)
3889 PARK AVE
MEMPHIS, TN 38111
Nurse Practitioner (Family)
3889 PARK AVE
MEMPHIS, TN 38111
Internal Medicine
3889 PARK AVE
MEMPHIS, TN 38111

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 Ndianabasi Mbride's NPI number?

The NPI number for Ndianabasi Mbride is 1316479033. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Ndianabasi Mbride located?

Ndianabasi Mbride practices at 3889 Park Ave, Memphis, TN 38111. The listed phone number is (901) 453-4303.

What is Ndianabasi Mbride's specialty?

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

Is Ndianabasi Mbride enrolled in Medicare?

Yes. Ndianabasi Mbride is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ndianabasi Mbride accept?

Health plans from UnitedHealthcare list Ndianabasi Mbride 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 Ndianabasi Mbride was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.