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NPISignal

Individual Healthcare Provider

Kofoworola Mariam Kuboye, M.D

NPI Record: ActivePediatrics
NPI1225298011
Prosper, Texas

Provider's NPPES record last updated: September 11, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1225298011
Primary Specialty
Pediatrics
Practice Location
Prosper, Texas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:34 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X
  • Pediatrics

    Adolescent Medicine

    Allopathic & Osteopathic Physicians

    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

    Taxonomy code 2080A0000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Pediatrics (Texas)
Q6050
Pediatrics (Mississippi)
21756
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2810 W 1st St Ste 30

Prosper, Texas 75078-8151

Phone: (469) 281-2388

Additional Practice Location

2701 Davis St

Meridian, Mississippi 39301-5708

Phone: (601) 693-0118

Fax: (601) 483-8803

Additional Practice Location

6587 Virginia Pkwy

Mckinney, Texas 75071-5511

Phone: (972) 548-8382

Fax: (972) 547-9951

Additional Practice Location

1208 Bent Oaks Ct

Denton, Texas 76210-3300

Phone: (940) 566-5437

Fax: (940) 323-0553

Record Information

Enumeration Date
June 15, 2008
Provider's NPPES Record Last Updated
September 11, 2024
Certification Date
September 11, 2024
NPISignal NPPES Dataset
August 2026

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