SANDRA KABAGAMBE MD
NPI 1083977706
Surgery - Pediatric Surgery in Urbana, IL

Q: What is Sandra Kabagambe's NPI number?

The NPI number for Sandra Kabagambe is 1083977706. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Sandra Kabagambe's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Kabagambe was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 18, 2012PECOS Enrolled

79.39/100

CMS Quality Rating

611 W PARK ST, URBANA, IL 61801(217) 383-3100 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Aug 10, 2023, May 6, 2022 (3 updates tracked since 2022).

On this page

About Sandra Kabagambe Md NPPES

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

SANDRA KABAGAMBE MD (NPI 1083977706) is an individual pediatric surgery provider in Urbana, Illinois, licensed in Illinois (036173369) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083977706

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameSANDRA KABAGAMBECredential: MD

Location Address611 W PARK STUrbana, IL 61801-2501

Mailing Address611 W Park St, FapcUrbana, IL 61801-2500

Phone(217) 383-3100

Sole ProprietorYes

Enumeration DateJune 18, 2012

Last NPPES UpdateJune 23, 20253 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1083977706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in IL · 036173369✔ Licensed in VA · 0101272864

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

611 W PARK ST, Urbana, IL 61801

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11204 W Main StCharlottesville, VA 22903-2824 · Phone (434) 924-2673 · Fax (434) 924-3000

Location 21215 Lee StCharlottesville, VA 22908-2824 · Phone (434) 924-0211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Kabagambe Md 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.66

Promoting Interoperability

100

Improvement Activities

Cost

57.65

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology