Luckycharm Primary Care PLLC
NPI 1336935857ActiveOrganization· Internal Medicine· Longview, TX
Internal Medicine in Longview, Texas, registered in NPPES in April 2025. The authorized official on file is Uchenne Evans Mbaraonye, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336935857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2025 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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