Individual ProviderKyari Sumayin NgamduInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4800 Alberta Ave, El Paso, TX 79905-2709(915) 215-5200(800) 225-8885PECOS EnrollmentBased on the most recent information from CMS, provider Kyari Sumayin Ngamdu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1851703615Provider TypeIndividualFull NameSumayin Ngamdu, KyariCredentialM.DGenderMaleSole ProprietorNoEnumeration Date5/28/2014Last Updated3/29/2021Contact InformationPractice LocationPractice Address4800 Alberta Ave, El Paso, TX 79905-2709Phone(915) 215-5200Fax(915) 545-6658Mailing LocationMailing AddressPO Box 415348, Boston, MA 02241-5348Phone(800) 225-8885Fax(508) 334-1977Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense273729MassachusettsCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerTexas