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MR. ETIENNE T NGOUMGNA PA-C MHS MSC
NPI 1487891776
Physician Assistant - Medical in Baltimore, MD

Active since January 08, 2009PECOS EnrolledAccepts Medicare Assignment
821 N EUTAW ST, SUITE 103, BALTIMORE, MD 21201(410) 225-8760 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Etienne T Ngoumgna Pa-c Mhs Msc NPPES

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

MR. ETIENNE T NGOUMGNA PA-C MHS MSC (NPI 1487891776) is an individual medical provider in Baltimore, Maryland, licensed in Maryland (C0002500) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1487891776
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ETIENNE T NGOUMGNACredential: PA-C MHS MSC
Location Address821 N EUTAW ST, SUITE 103Baltimore, MD 21201-4648
Mailing Address821 N Eutaw St, Suite 103Baltimore, MD 21201-4648 · (410) 225-8760
Phone(410) 225-8760
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 8, 2009
Last NPPES UpdateJuly 8, 2010
✔ NPI 1487891776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0002500
Also ListedPhysician AssistantTaxonomy 363A00000X · License C0002500 (MD)
821 N EUTAW ST, Baltimore, MD 21201
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN180910Y8SMD
Medicare PINS589MD

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

Mr. Etienne T Ngoumgna Pa-c Mhs Msc 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 ID5496806390
PECOS Enrollment IDI20090707000231
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services37 patients

Hospital Affiliations CMS Care Compare

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

DR. MILES HARRISON M.D.
Specialist
821 N EUTAW ST, SUITE 307
BALTIMORE, MD 21201
Baltimore City (443) 552-2898
DR. RAVI KRISHNAN ANANDAKRISHNAN M.D.
Specialist
821 N EUTAW ST, SUITE 305
BALTIMORE, MD 21201
Baltimore City (410) 669-9318
ANWAR I KHOKHAR MD PA
Specialist
821 N EUTAW ST, 103
BALTIMORE, MD 21201
Baltimore City (410) 225-8760
AZRA A AHMED M.D.
Internal Medicine
821 N EUTAW ST, S-103
BALTIMORE, MD 21201
Baltimore City (410) 225-8760
EDWARD OBAZEE M.D.
Specialist
821 N EUTAW ST
BALTIMORE, MD 21201
Baltimore City (410) 206-3839
MR. SHOAIB A HASHMI MD
Internal Medicine
821 N EUTAW ST, #308
BALTIMORE, MD 21201
Baltimore City (410) 383-2072
DR. USHA W VARMA MD
Obstetrics & Gynecology (Gynecology)
821 N EUTAW ST, STE 308
BALTIMORE, MD 21201
Baltimore City (410) 581-8767
DR. JUTHIKA BHAUMIK M.D.,M.P.H
Pediatrics
821 N EUTAW ST, 210
BALTIMORE, MD 21201
Baltimore City (410) 383-2250

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 Etienne Ngoumgna's NPI number?

The NPI number for Etienne Ngoumgna is 1487891776. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is Etienne Ngoumgna located?

Etienne Ngoumgna practices at 821 N Eutaw St Suite 103, Baltimore, MD 21201. The listed phone number is (410) 225-8760.

What is Etienne Ngoumgna's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Etienne Ngoumgna enrolled in Medicare?

Yes. Etienne Ngoumgna 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.

Is Etienne Ngoumgna affiliated with any hospitals?

According to CMS data, Etienne Ngoumgna is affiliated with Saint Agnes Hospital.

When was this NPI record last updated?

The NPPES record for Etienne Ngoumgna was last updated on July 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.