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DOUGLAS MUKOROMBINDO
NPI 1326764127
Nurse Practitioner - Family in Edmond, OK

Active since October 13, 2022PECOS Enrolled
5400 E MEMORIAL RD, EDMOND, OK 73013(405) 459-7016 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas Mukorombindo NPPES

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

DOUGLAS MUKOROMBINDO (NPI 1326764127) is an individual family provider in Edmond, Oklahoma, licensed in Indiana (28214779A) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Valparaiso, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326764127
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOUGLAS MUKOROMBINDO
Location Address5400 E MEMORIAL RDEdmond, OK 73013-8213
Mailing Address5400 E Memorial RdEdmond, OK 73013-8213 · (405) 459-7016
Phone(405) 459-7016
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1326764127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28214779A
5400 E MEMORIAL RD, Edmond, OK 73013
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Secondary Practice Location 1

Location 1247 Moncrief DrValparaiso, IN 46385-7752 · Phone (317) 459-5146

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Mukorombindo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527431865
PECOS Enrollment IDI20230307001255
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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
496 services90 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
350 services62 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
176 services84 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
111 services52 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
76 services69 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Douglas Mukorombindo's NPI number?

The NPI number for Douglas Mukorombindo is 1326764127. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Douglas Mukorombindo located?

Douglas Mukorombindo practices at 5400 E Memorial Rd, Edmond, OK 73013. The listed phone number is (405) 459-7016.

What is Douglas Mukorombindo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Douglas Mukorombindo enrolled in Medicare?

Yes. Douglas Mukorombindo is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Mukorombindo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Douglas Mukorombindo 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 Douglas Mukorombindo was last updated on October 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.