OrganizationActive
Northstar Internal Medicine PA
NPI 1992058705 · Internal Medicine Physician · Grand Prairie, TX
Provider details
- NPI number
- 1992058705
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ikechukwu Nwabude, President and Ceo(469) 209-9110
- License
- N5288 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5720 Appalossa Dr
Grand Prairie, TX 75052-2522
Phone: (817) 717-1299
Street-level locationGet directions
Mailing address
5720 Appalossa Dr
Grand Prairie, TX 75052-2522
Registry dates
- Enumerated
- 2012-10-17
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.