Khotwanaeya Mwamba, M.D.
NPI 1205198421 · Pediatrics Physician · Tyler, TX
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Khotwanaeya Mwamba, M.D. is a Pediatrics Physician provider in Tyler, TX (NPI 1205198421).
Provider details
- NPI number
- 1205198421
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- R6634 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2990 N Broadway AveTyler, TX 75702-2149Phone: (903) 535-9041
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Khotwanaeya Mwamba's NPI number?
- Khotwanaeya Mwamba's National Provider Identifier (NPI) is 1205198421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khotwanaeya Mwamba's specialty?
- Khotwanaeya Mwamba is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Khotwanaeya Mwamba located?
- Khotwanaeya Mwamba's practice location on file with NPPES is 2231 W Gentry Pkwy, Tyler, TX 75702-2809.
- What is Khotwanaeya Mwamba's phone number?
- The practice phone number listed in the NPPES registry for Khotwanaeya Mwamba is (903) 535-9041.
- Does Khotwanaeya Mwamba accept Medicare?
- Khotwanaeya Mwamba is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Khotwanaeya Mwamba's NPI active?
- Yes — Khotwanaeya Mwamba's NPI (1205198421) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.