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MR. SOUMANA MOUNKAILA
NPI 1063950632
Nurse Practitioner - Family in Bronx, NY

Active since February 03, 2017PECOS Enrolled
1975 BIRCHALL AVE, APT 8E, BRONX, NY 10462(646) 316-0778 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Soumana Mounkaila NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SOUMANA MOUNKAILA (NPI 1063950632) is an individual family provider in Bronx, New York, licensed in New York (F339568-1) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063950632
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SOUMANA MOUNKAILA
Location Address1975 BIRCHALL AVE, APT 8EBronx, NY 10462-2890
Mailing Address1975 Birchall Ave Apt 8eBronx, NY 10462-2894 · (646) 316-0778
Phone(646) 316-0778
Sole ProprietorYes
Enumeration DateFebruary 3, 2017
✔ NPI 1063950632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F339568-1
1975 BIRCHALL AVE, Bronx, NY 10462
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Soumana Mounkaila is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10462 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soumana Mounkaila's NPI number?

The NPI number for Soumana Mounkaila is 1063950632. It was assigned to this individual provider in the NPPES registry on February 3, 2017.

Where is Soumana Mounkaila located?

Soumana Mounkaila practices at 1975 Birchall Ave Apt 8E, Bronx, NY 10462. The listed phone number is (646) 316-0778.

What is Soumana Mounkaila's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Soumana Mounkaila enrolled in Medicare?

Yes. Soumana Mounkaila is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soumana Mounkaila was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.