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ILUNGA KATAMBWA NP
NPI 1104400837
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment
1621 N 1ST ST, SAINT LOUIS, MO 63102(314) 922-1822 Get Directions Write a Review

NPPES record last updated: January 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Jul 27, 2021, May 10, 2021 (3 updates tracked since 2021).

About Ilunga Katambwa Np NPPES

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

ILUNGA KATAMBWA NP (NPI 1104400837) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2023035006) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2023).

NPPES Registry Identity

NPI1104400837
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameILUNGA KATAMBWACredential: NP
Location Address1621 N 1ST STSaint Louis, MO 63102-1299
Mailing Address1841 Lunenburg DrSaint Peters, MO 63376-8166 · (314) 922-1822
Phone(314) 922-1822
Sole ProprietorYes
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2023
Enumeration DateMay 10, 2021
Last NPPES UpdateJanuary 13, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2024
✔ NPI 1104400837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2023035006
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2021016520 (MO)
1621 N 1ST ST, Saint Louis, MO 63102
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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 and accepts Medicare assignment

Ilunga Katambwa Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931635992
PECOS Enrollment IDI20241213001282
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 63102 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 Ilunga Katambwa's NPI number?

The NPI number for Ilunga Katambwa is 1104400837. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Ilunga Katambwa located?

Ilunga Katambwa practices at 1621 N 1st St, Saint Louis, MO 63102. The listed phone number is (314) 922-1822.

What is Ilunga Katambwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ilunga Katambwa enrolled in Medicare?

Yes. Ilunga Katambwa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ilunga Katambwa was last updated on January 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.