Luckycharm Primary Care PLLC
NPI 1336935857 · Internal Medicine Physician · Longview, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luckycharm Primary Care PLLC is a Internal Medicine Physician organization in Longview, TX (NPI 1336935857).
Provider details
- NPI number
- 1336935857
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Uchenne Mbaraonye, Owner(937) 554-8570
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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)
- 1000 N High St Ste 21Longview, TX 75601-5105Phone: (903) 488-2273Fax: (773) 825-8352
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Frequently asked questions
- What is Luckycharm Primary Care PLLC's NPI number?
- Luckycharm Primary Care PLLC's National Provider Identifier (NPI) is 1336935857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Luckycharm Primary Care PLLC?
- Luckycharm Primary Care PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Luckycharm Primary Care PLLC located?
- Luckycharm Primary Care PLLC's practice location on file with NPPES is 3521 N Fourth Street, Suite 100, Longview, TX 75605.
- What is Luckycharm Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Luckycharm Primary Care PLLC is (903) 448-2273.
- Does Luckycharm Primary Care PLLC accept Medicare?
- Luckycharm Primary Care PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Luckycharm Primary Care PLLC?
- The authorized official listed on Luckycharm Primary Care PLLC's NPPES record is Uchenne Mbaraonye, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Luckycharm Primary Care PLLC's NPI active?
- Yes — Luckycharm Primary Care PLLC's NPI (1336935857) is active in the NPPES registry as of the last update on 2025-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.