DIBORO KANABOLO MD
NPI 1194287987
Urology in Seattle, WA
About Diboro Kanabolo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIBORO KANABOLO MD (NPI 1194287987) is an individual urology provider in Seattle, Washington, licensed in Illinois (036173233) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diboro Kanabolo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Diboro Kanabolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
- 1,079 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Lake Forest Hospital
Acute Care Hospitals · Lake Forest, ILNorthwestern Medicine Central Dupage Hospital
Acute Care Hospitals · Winfield, ILNorthwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILNorthwestern Medicine Kishwaukee Hospital
Acute Care Hospitals · Dekalb, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SEATTLE, WA 98109
SEATTLE, WA 98109
SEATTLE, WA 98109
SEATTLE, WA 98109
SEATTLE, WA 98109
SEATTLE, WA 98109
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 Diboro Kanabolo's NPI number?
The NPI number for Diboro Kanabolo is 1194287987. It was assigned to this individual provider in the NPPES registry on April 2, 2019.
Where is Diboro Kanabolo located?
Diboro Kanabolo practices at 850 Republican St # 358047, Seattle, WA 98109. The listed phone number is (951) 315-2044.
What is Diboro Kanabolo's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Diboro Kanabolo enrolled in Medicare?
Yes. Diboro Kanabolo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Diboro Kanabolo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diboro Kanabolo reassigns Medicare benefits to University Medical Service Association Inc (Tampa, FL). The 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 Diboro Kanabolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Diboro Kanabolo accept?
Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Diboro Kanabolo 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 Diboro Kanabolo affiliated with any hospitals?
According to CMS data, Diboro Kanabolo is affiliated with Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital, Northwestern Memorial Hospital and Northwestern Medicine Kishwaukee Hospital.
When was this NPI record last updated?
The NPPES record for Diboro Kanabolo was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Diboro Kanabolo, MD · NPI 1194287987
Urology physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since April 2, 2019.
## Identity
- **NPI:** 1194287987 (Entity type: Individual)
- **Enumerated:** April 2, 2019
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 036173233 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 850 REPUBLICAN ST # 358047, Seattle, WA 98109-4725
- **Phone:** (951) 315-2044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Medical Service Association Inc (NPI 1538360425, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194287987) · Data from the CMS NPPES public registry.