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Active NPI 1801541578 Individual Practitioner Male Practitioner

Ubong Raymond Atiata

Physician Assistant • Shenandoah, TX

Professional Overview & Biography Verified Profile Summary

Ubong Atiata is a registered healthcare professional specializing in Physician Assistant in Shenandoah, TX. Practice services are available at 17189 INTERSTATE 45 S STE 475 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17189 Interstate 45 S Ste 475

Shenandoah, TX 773853320

Telephone 9362703933
Fax 7137915134

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Shenandoah, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
45 Specialists

Practicing in Shenandoah, TX (11140 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
15 15 $212.00 $74.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
14 14 $401.00 $106.00

Medical Specialties & State Licenses

CMS Verified: 2026-06-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA16593

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

3533 Southern Blvd Ste 5650

Kettering, OH 454291263

Phone: 9372943611

425 W Grand Ave Ste 2002

Dayton, OH 454054769

Phone: 9372943611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Regina Husman , MD

Surgery - Vascular Surgery

NPI 1033748330

Doctor of Medicine (M.D.)

Dr. Sapna Legha , MD

Internal Medicine - Cardiovascular Disease

NPI 1073899506

Doctor of Medicine (M.D.)

Alexandrya Tran , APRN, NP-C

Nurse Practitioner - Acute Care

NPI 1205568839

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Ann Manuel

Nurse Practitioner - Family

NPI 1225514524
Dr. Paul Cunningham , MD

Internal Medicine - Interventional Cardiology

NPI 1356582886

Doctor of Medicine (M.D.)

Dr. Michael Koeckert , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1366706392

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 22, 2024

Registered at 17189 INTERSTATE 45 S STE 475, SHENANDOAH, TX 773853320 (Tel: 9362703933)

📍
Updated Business Mailing Address March 22, 2024

Registered at 17189 INTERSTATE 45 S STE 475, SHENANDOAH, TX 773853320 (Tel: 9362703933)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2024

Physician Assistant (License #PA16593 in TX)

NPI Profile Active February 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2022

Registered at 1731 E 120TH ST, LOS ANGELES, CA 900593051 (Tel: 3235634800)

📍
Updated Business Mailing Address February 21, 2022

Registered at 1731 E 120TH ST, LOS ANGELES, CA 900593051 (Tel: 3235634800)

👤
Provider Name / Credentials Updated February 21, 2022

Recorded as UBONG ATIATA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 21, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801541578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2022
Last Update: June 04, 2026
Sole Proprietor: Yes

Mailing Address

17189 Interstate 45 S Ste 475

Shenandoah, TX 773853320

Phone: 9362703933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.