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NOAAK HEALTHCARE LLC
NPI 1578040580
Family Medicine in Fort Worth, TX

Active since July 23, 2018CLIA 45D2152692 · Waiver
648 E BUTLER ST, FORT WORTH, TX 76110(817) 382-0005 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 8, 2026, Apr 22, 2020, May 23, 2019 and 2 more (5 updates tracked since 2018).

About Noaak Healthcare Llc NPPES

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

NOAAK HEALTHCARE LLC (NPI 1578040580) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through August 13, 2028 and lists Katherine Khen Zama Mbuh, Owner, as its authorized official.

NPPES Registry Identity

NPI1578040580
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOAAK HEALTHCARE LLC
Location Address648 E BUTLER STFort Worth, TX 76110-5523
Mailing AddressPo Box 788Aledo, TX 76008-0788 · (817) 382-0005 · Fax (682) 334-7238
Phone(817) 382-0005
Organization SubpartNo
Authorized OfficialKatherine Khen Zama MbuhOwner · (443) 694-3931
Enumeration DateJuly 23, 2018
Last NPPES UpdateMay 8, 20265 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1578040580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · AP132859
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.
648 E BUTLER ST, Fort Worth, TX 76110
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noaak Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Noaak Healthcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Fomundam Mbuh, NP
Nurse Practitioner
NPI 1003464496
648 E BUTLER ST
Fort Worth, TX 76110
(817) 382-0005
✔ PECOSSame address
Katherine Zama Mbuh, FNP
Nurse Practitioner
NPI 1568907202
4759 SOUTH FWY STE 101
Fort Worth, TX 76115
(817) 382-0005
✔ PECOS✔ Accepts Medicare1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2152692

Noaak Healthcare LLC · Fort Worth, TX
Active · expires Aug 13, 2028
CLIA Number45D2152692
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorKatherine Zamambuh
Laboratory Phone(443) 694-3931
Laboratory LocationNoaak Healthcare LLC7733 Bella Miland Dr, Fort Worth, TX 76126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Noaak Healthcare LLC's NPI number?

The NPI number for Noaak Healthcare LLC is 1578040580. It was assigned to this organization in the NPPES registry on July 23, 2018.

Where is Noaak Healthcare LLC located?

Noaak Healthcare LLC is located at 648 E Butler St, Fort Worth, TX 76110. The listed phone number is (817) 382-0005.

What is Noaak Healthcare LLC's specialty?

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

Is Noaak Healthcare LLC enrolled in Medicare?

Yes. Noaak Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Noaak Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Noaak Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Noaak Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2152692) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Noaak Healthcare LLC accept?

Health plans from Molina Healthcare and WellPoint list Noaak Healthcare LLC 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 Noaak Healthcare LLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.