DR. EBENEZER A NII-MOI M.D.
NPI 1396930376
Obstetrics & Gynecology in Longview, TX

Q: What is Ebenezer Nii-moi's NPI number?

The NPI number for Ebenezer Nii-moi is 1396930376. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Q: What is Ebenezer Nii-moi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ebenezer Nii-moi was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 12, 2007PECOS EnrolledAccepts Medicare Assignment

705 E MARSHALL AVE STE 3000, LONGVIEW, TX 75601(906) 758-2610(903) 758-7081 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2024, Oct 5, 2022, Jan 29, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. Ebenezer A Nii-moi M.d. NPPES

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

DR. EBENEZER A NII-MOI M.D. (NPI 1396930376) is an individual obstetrics & gynecology provider in Longview, Texas, licensed in Texas (Q8114) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- Waxahachie, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396930376

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. EBENEZER A NII-MOICredential: M.D.

Location Address705 E MARSHALL AVE STE 3000Longview, TX 75601-5661

Mailing Address1107 E Marshall AveLongview, TX 75601-5602 · (903) 758-2610 · Fax (903) 212-7689

Phone(906) 758-2610

Fax(903) 758-7081

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 12, 2007

Last NPPES UpdateApril 26, 20244 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1396930376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in TX · Q8114✔ Licensed in PA · MD431796

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

705 E MARSHALL AVE STE 3000, Longview, TX 75601

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Secondary Practice Locations 2

Location 11107 E Marshall AveLongview, TX 75601-5602 · Phone (903) 758-2610 · Fax (903) 758-7081

Location 2825 Medical Dr Ste ATyler, TX 75701-2143 · Phone (903) 758-2610 · Fax (903) 758-7081

Other Identifiers 2

Other8GK198TX · Bcbs Tx

Medicaid3651184-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.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

Dr. Ebenezer A Nii-moi M.d. 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 ID9931299062

PECOS Enrollment IDI20161205000792

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450372

Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 9

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

LAURA CHILDRESS RN, MSN, WHNP

Nurse Practitioner (Women's Health)