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MWANGI KAMAU M.D.
NPI 1215480835
Internal Medicine - Nephrology in Lewes, DE

Active since August 01, 2016PECOS EnrolledAccepts Medicare Assignment
36.9/100
CMS Quality Rating
17021 OLD ORCHARD RD UNIT 1, LEWES, DE 19958(302) 503-3922(302) 503-7986 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2025, Feb 6, 2023, Nov 25, 2022 and 1 more (4 updates tracked since 2019).

About Mwangi Kamau M.d. NPPES

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

MWANGI KAMAU M.D. (NPI 1215480835) is an individual nephrology provider in Lewes, Delaware, licensed in Delaware (C1-0024517) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215480835
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMWANGI KAMAUCredential: M.D.
Location Address17021 OLD ORCHARD RD UNIT 1Lewes, DE 19958-4832
Mailing Address17021 Old Orchard Rd Unit 1Lewes, DE 19958-4832 · (302) 503-3922 · Fax (302) 503-7986
Phone(302) 503-3922
Fax(302) 503-7986
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 1, 2016
Last NPPES UpdateMarch 21, 20254 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1215480835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in DE · C1-0024517
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
17021 OLD ORCHARD RD UNIT 1, Lewes, DE 19958
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Other Identifiers 1

Medicaid250693620DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

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

Mwangi Kamau M.d. 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 ID3173859345
PECOS Enrollment IDI20220914003439
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.

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.
600 services155 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
360 services231 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
76 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
72 services72 patients
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.
70 services66 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.
67 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19958 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

36.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability61
Improvement Activities0
Cost55.52

Other Providers at the Same Location NPPES 2

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

MRS. NORMA CADET NP
Nurse Practitioner
17021 OLD ORCHARD RD UNIT 1
LEWES, DE 19958
Sussex County (302) 503-3922
JESSICA MCVEY
Counselor (Professional)
17021 OLD ORCHARD RD UNIT 1
LEWES, DE 19958
Sussex County (302) 703-6332

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 Mwangi Kamau's NPI number?

The NPI number for Mwangi Kamau is 1215480835. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Where is Mwangi Kamau located?

Mwangi Kamau practices at 17021 Old Orchard Rd Unit 1, Lewes, DE 19958. The listed phone number is (302) 503-3922.

What is Mwangi Kamau's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mwangi Kamau enrolled in Medicare?

Yes. Mwangi Kamau 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.

What insurance does Mwangi Kamau accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Mwangi Kamau 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.

When was this NPI record last updated?

The NPPES record for Mwangi Kamau was last updated on March 21, 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.