Doctor profile · Federal record

Dr. Ethel Mbombow, PA-C

Physician Assistant · Internal Medicine Physician · Internal Medicine Physician · Eastpointe, MI

  • NPI 1801121348
  • Accepts Medicare
  • 17 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
21409 Kelly RD, Suite 400
Eastpointe, MI 480213264
(586) 777-0630
fax (586) 777-0631
Mailing address
4967 Crooks RD, Ste 130
Troy, MI 480985801

Credentials & registration

NPPES · NUCC
NPI registered
October 2009 — 17 yrs on file
Profile last updated
July 29, 2015
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Michigan #5601005700 · Michigan #1088784

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1801121348. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
174
Distinct HCPCS
1
Medicare allowed
$12,821
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 174 51 $74

In context: peer comparison

Among 1 peers in this city , average services per provider: 174. This provider delivers 1.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$122
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Vanda Pharmaceuticals Inc. 1 $121.60

By nature of payment

Food and Beverage
$122

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,699
Patients
322
Total drug cost
$261,968
Drug Type Claims Patients Total cost
Aripiprazole Generic 188 36 $13,136
Quetiapine Fumarate Generic 171 41 $5,570
Trazodone Hcl Generic 147 29 $2,538
Sertraline Hcl Generic 144 27 $1,091
Lamotrigine Generic 123 23 $1,750
Olanzapine Generic 123 25 $2,421
Buspirone Hcl Generic 115 23 $3,467
Benztropine Mesylate Generic 114 23 $1,228
Doxepin Hcl Generic 108 18 $3,748
Haloperidol Generic 99 21 $4,477

Frequently asked questions

Auto-generated from federal data
What is Dr. Ethel Mbombow's medical specialty?
Dr. Ethel Mbombow practices Physician Assistant in Eastpointe, MI.
Where does Dr. Ethel Mbombow practice?
Dr. Ethel Mbombow practices at 21409 Kelly RD, Eastpointe, MI 480213264. Office phone: 5867770630.
What is Dr. Ethel Mbombow's NPI?
Dr. Ethel Mbombow's National Provider Identifier (NPI) is 1801121348, issued by NPPES.
Does Dr. Ethel Mbombow accept Medicare assignment?
Yes. Dr. Ethel Mbombow accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ethel Mbombow commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.