DIBORO KANABOLO MD
NPI 1194287987
Urology in Seattle, WA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
850 REPUBLICAN ST # 358047, SEATTLE, WA 98109(951) 315-2044 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Apr 2, 2019 (2 updates tracked since 2019).

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

NPI1194287987
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDIBORO KANABOLOCredential: MD
Location Address850 REPUBLICAN ST # 358047Seattle, WA 98109-4725
Mailing Address850 Republican St # 358047Seattle, WA 98109-4725
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1194287987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in IL · 036173233
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
850 REPUBLICAN ST # 358047, Seattle, WA 98109

Secondary Practice Location 1

Location 1675 N Saint Clair St Ste 20-150Chicago, IL 60611-5979 · Phone (312) 695-8146 · Fax (312) 695-7030

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

Diboro Kanabolo Md 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 ID2769715218
PECOS Enrollment IDI20250617000810
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.

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, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Physician 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.

New Patient
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers16 claims240 services$8.47 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
3 suppliers19 claims300 services$3.48 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers11 claims350 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST # 358047
SEATTLE, WA 98109
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST # 358047
SEATTLE, WA 98109
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST # 358047
SEATTLE, WA 98109
Emergency Medicine
850 REPUBLICAN ST # 358047
SEATTLE, WA 98109
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST # 358047
SEATTLE, WA 98109
Emergency Medicine
850 REPUBLICAN ST # 358047
SEATTLE, WA 98109
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST # 358047
SEATTLE, WA 98109
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST # 358047
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 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.