Ethel Mbombow, PA-C
NPI 1801121348 · Physician Assistant · Eastpointe, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethel Mbombow, PA-C is a Physician Assistant provider in Eastpointe, MI (NPI 1801121348).
Provider details
- NPI number
- 1801121348
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601005700 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
168 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 131 | $79 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 20 | $47 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 17 | $110 |
Typical Medicare-allowed amounts for these services range $47–$110 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Aripiprazole | 170 | 32 |
| Quetiapine Fumarate | 166 | 33 |
| Trazodone Hcl | 157 | 26 |
| Doxepin Hcl | 131 | 16 |
| Buspirone Hcl | 119 | 27 |
| Sertraline Hcl | 118 | 19 |
| Lamotrigine | 116 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$122 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-15
- Last updated
- 2015-07-29
Frequently asked questions
- What is Ethel Mbombow's NPI number?
- Ethel Mbombow's National Provider Identifier (NPI) is 1801121348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethel Mbombow's specialty?
- Ethel Mbombow is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ethel Mbombow located?
- Ethel Mbombow's practice location on file with NPPES is 21409 Kelly Rd, Eastpointe, MI 48021-3264.
- What is Ethel Mbombow's phone number?
- The practice phone number listed in the NPPES registry for Ethel Mbombow is (586) 777-0630.
- Does Ethel Mbombow accept Medicare?
- Ethel Mbombow is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethel Mbombow's NPI active?
- Yes — Ethel Mbombow's NPI (1801121348) is active in the NPPES registry as of the last update on 2015-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.