GBAMBELE KONE
NPI 1164912069
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE ST FL 3, PHILADELPHIA, PA 19104(215) 662-3983 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 15, 2025, Jul 14, 2022, May 16, 2018 (3 updates tracked since 2018).

About Gbambele Kone NPPES

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

GBAMBELE KONE (NPI 1164912069) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD477341) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164912069
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameGBAMBELE KONE
Location Address3400 SPRUCE ST FL 3Philadelphia, PA 19104-4229
Mailing Address3400 Spruce St Fl 3Philadelphia, PA 19104-4229 · (215) 662-3983
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 16, 2018
Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1164912069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in PA · MD477341 Licensed in RI · MD20511 Licensed in CT · 74326
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3400 SPRUCE ST FL 3, Philadelphia, PA 19104

Secondary Practice Locations 3

Location 1455 Toll Gate RdWarwick, RI 02886-2759 · Phone (972) 449-0540
Location 2540 Litchfield StTorrington, CT 06790-6679 · Phone (972) 449-0540
Location 320 York street, YNHH NeurologyNew haven, CT 06510 · Phone (203) 688-4242

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

Gbambele Kone 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 ID1951656487
PECOS Enrollment IDI20230314003053, I20250203002066, I20250602002168
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
237 services231 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
203 services151 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
73 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services58 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Hematology & Oncology)
3400 SPRUCE ST FL 3
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3400 SPRUCE ST FL 3
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 SPRUCE ST FL 3
PHILADELPHIA, PA 19104

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 Gbambele Kone's NPI number?

The NPI number for Gbambele Kone is 1164912069. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Gbambele Kone located?

Gbambele Kone practices at 3400 Spruce St Fl 3, Philadelphia, PA 19104. The listed phone number is (215) 662-3983.

What is Gbambele Kone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Gbambele Kone enrolled in Medicare?

Yes. Gbambele Kone 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.

Is Gbambele Kone affiliated with any hospitals?

According to CMS data, Gbambele Kone is affiliated with Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gbambele Kone was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.