GBAMBELE KONE
NPI 1164912069
Psychiatry & Neurology - Neurology in Philadelphia, PA
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
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Gbambele Kone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19146
- Reassigned Medicare billing, Pennsylvania enrollment
- 727 clinicians in this Medicare group
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, Arkansas, New Jersey, New York, Pennsylvania and Vermont enrollments
- 150 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, PAPaoli Hospital
Acute Care Hospitals · Paoli, PAMain Line Hospital Lankenau
Acute Care Hospitals · Wynnewood, PARiddle Memorial Hospital
Acute Care Hospitals · Media, PAPhysician 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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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.
Which organizations bill Medicare for Gbambele Kone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gbambele Kone reassigns Medicare benefits to 3 organizations: Lancaster General Medical Group (Philadelphia, PA), Main Line Healthcare (Newtown Square, PA) and Access Telecare, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gbambele Kone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gbambele Kone accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Gbambele Kone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 12 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.
# Gbambele Kone · NPI 1164912069
Neurology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 16, 2018.
## Identity
- **NPI:** 1164912069 (Entity type: Individual)
- **Enumerated:** May 16, 2018
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD477341 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST FL 3, Philadelphia, PA 19104-4229
- **Phone:** (215) 662-3983
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lancaster General Medical Group (NPI 1154883171, Philadelphia, PA); Main Line Healthcare (NPI 1922077643, Newtown Square, PA); Access Telecare, PLLC (NPI 1013303080, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164912069) · Data from the CMS NPPES public registry.