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MR. JOSEPH NJUGUNA MBUGUA NP
NPI 1518447564
Nurse Practitioner - Family in Dallas, TX

Active since August 20, 2018PECOS Enrolled
5750 PINELAND DR STE 150, DALLAS, TX 75231(214) 221-0855 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 6, 2026, May 16, 2024, Jul 25, 2019 and 2 more (5 updates tracked since 2018).

About Mr. Joseph Njuguna Mbugua Np NPPES

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

MR. JOSEPH NJUGUNA MBUGUA NP (NPI 1518447564) is an individual family provider in Dallas, Texas, licensed in Texas (AP138354) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518447564
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOSEPH NJUGUNA MBUGUACredential: NP
Location Address5750 PINELAND DR STE 150Dallas, TX 75231-5300
Mailing Address5750 Pineland Dr Ste 150Dallas, TX 75231-5300 · (214) 221-0855
Phone(214) 221-0855
Sole ProprietorNo
Enumeration DateAugust 20, 2018
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1518447564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP138354
5750 PINELAND DR STE 150, Dallas, TX 75231
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Medica 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 (PECOS)

Mr. Joseph Njuguna Mbugua Np 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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
356 services125 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims17 services$12.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims17 services$55.08 avg. paid by Medicare
High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$19.96 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier19 claims19 services$5.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

SARAH MARIE VALLIERE D.O.
Family Medicine
5750 PINELAND DR STE 150
DALLAS, TX 75231
Dallas County (214) 379-4393
DR. GIOVANI MOISES ZELADA MD
Psychiatry & Neurology (Psychiatry)
5750 PINELAND DR STE 150
DALLAS, TX 75231
Dallas County (214) 221-0855

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 Joseph Mbugua's NPI number?

The NPI number for Joseph Mbugua is 1518447564. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Joseph Mbugua located?

Joseph Mbugua practices at 5750 Pineland Dr Ste 150, Dallas, TX 75231. The listed phone number is (214) 221-0855.

What is Joseph Mbugua's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joseph Mbugua enrolled in Medicare?

Yes. Joseph Mbugua is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Mbugua accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Medica, Mending Health and Molina Healthcare and 3 other insurers list Joseph Mbugua 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 Joseph Mbugua was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.