Fomundam Mbuh, NP
Fomundam Mbuh, NP is a Family Nurse Practitioner in Fort Worth, TX, registered under NPI 1003464496. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Fort Worth, based on OpenStreetMap data collected Sep 28, 2026. Parking is available about 0.51 mi away.
Getting here and what is nearby
Hotel Astro Inn of Ft Worth 888 ft ~4 min
3518 South Freeway, Fort Worth 76110
Parking 0.39 mi ~8 min
Parking 0.50 mi ~10 min
Parking 0.51 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| AP142762 | TX | Family Nurse Practitioner primary |
| AP142762 | TX | Family Medicine Physician |
This provider holds licence AP142762 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 8527468610
- Enrollment ID
- I20210610002568
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner Family | AP142762 | TX | primary |
| 207Q00000X | Family Medicine Physician | AP142762 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003464496 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 28, 2019 |
| Last updated | May 8, 2026 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | NP |
| Practice address |
648 E BUTLER ST Fort Worth, TX 76110 (817) 382-0005 |
| Mailing address |
PO BOX 788 Aledo, TX 76008 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 4 | 6 | 4 | 4 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 8 | 6 | 8 | 4 | 9 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.