Doctor profile · Federal record

Dr. Soumana Djibo

Family Nurse Practitioner · Southlake, TX

  • NPI 1760148753
  • 5 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
855 Davis Blvd
Southlake, TX 760928244
(817) 912-1771
Mailing address
3402 Rosemead Dr
Arlington, TX 760143557

Credentials & registration

NPPES · NUCC
NPI registered
November 2021 — 5 yrs on file
Profile last updated
October 31, 2022
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Texas #AP141893
Medicaid
TX #1760148753

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1760148753. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
343
Distinct HCPCS
4
Medicare allowed
$33,558
HCPCS Description Services Patients Avg allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 160 69 $107
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow 156 69 $87
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 14 13 $155
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 13 11 $52

In context: peer comparison

Among 6 peers in this city , average services per provider: 330. This provider delivers 1.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
87
Patients
0
Total drug cost
$4,041
Drug Type Claims Patients Total cost
Amlodipine Besylate Generic 19 0 $167
Atorvastatin Calcium Generic 19 0 $180
Lisinopril Generic 14 0 $232
Levothyroxine Sodium Generic 13 0 $73
Novolin 70-30 (Insulin Nph Hum/Reg Insulin Hm) Brand 11 0 $3,245
Omeprazole Generic 11 0 $144

Frequently asked questions

Auto-generated from federal data
What is Dr. Soumana Djibo's medical specialty?
Dr. Soumana Djibo practices Family Nurse Practitioner in Southlake, TX.
Where does Dr. Soumana Djibo practice?
Dr. Soumana Djibo practices at 855 Davis Blvd, Southlake, TX 760928244. Office phone: 8179121771.
What is Dr. Soumana Djibo's NPI?
Dr. Soumana Djibo's National Provider Identifier (NPI) is 1760148753, issued by NPPES.
What procedures does Dr. Soumana Djibo commonly perform?
Top Medicare-reported procedures in 2023: Residence visit for established patient with moderate level of medical decision making (HCPCS 99349); Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS G0181); Residence visit for established patient with high level of medical decision making (HCPCS 99350). Source: CMS Medicare Physician & Other Practitioners file.