DR. JEFFREY M POMBOLINGI MD
NPI 1639929359
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Jeffrey Pombolingi's NPI number?

The NPI number for Jeffrey Pombolingi is 1639929359. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Jeffrey Pombolingi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 25, 2024PECOS Enrolled

1400 8TH AVE, FORT WORTH, TX 76104(817) 252-9309 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jeffrey M Pombolingi Md NPPES

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

DR. JEFFREY M POMBOLINGI MD (NPI 1639929359) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639929359

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JEFFREY M POMBOLINGICredential: MD

Location Address1400 8TH AVEFort Worth, TX 76104-4110

Mailing Address1400 8th AveFort Worth, TX 76104-4110 · (817) 252-9309

Phone(817) 252-9309

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1639929359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 8TH AVE, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey M Pombolingi Md 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.

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.

JOEY MAYOR MD

Emergency Medicine