Look up the most recent NPI and PECOS records

Stephen Wabeti Nganga

Internal Medicine

Allopathic & Osteopathic Physicians

(425) 261-2000 (425) 304-8431

PECOS Enrollment

This provider is enrolled in PECOS as STEPHEN NGANGA.

Based on the most recent information from CMS, provider Stephen Wabeti Nganga is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982166070
Provider Type
Individual
Full Name
Nganga, Stephen Wabeti
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/5/2019
Last Updated
9/16/2022

Contact Information

Practice Location

1321 Colby Ave, Everett, WA 98201-1665

(425) 261-2000

Unlisted Fax

Mailing Location

PO Box 5127, Everett, WA 98206-5127

(425) 304-8431

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD61319760 Washington
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Stephen Wabeti Nganga

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mcgoodwin, Wendy Loraine

Kodlipet Jagadeesh, Kavyashri

Lowrey, Geoffrey

De Lisle, Jordan M

Olinger, Eileen M.

Wong, Victor

Nizami, Wagma

Bakulina, Anastasia

Hobbs, Jenny B

Mccreery, Sierra