AUGUSTINE K KABONGO MD
NPI 1467795930
Internal Medicine in Davenport, IA

Q: What is Augustine Kabongo's NPI number?

The NPI number for Augustine Kabongo is 1467795930. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Q: What is Augustine Kabongo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Augustine Kabongo was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment

1227 E RUSHOLME ST, DAVENPORT, IA 52803(563) 421-7882 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Augustine K Kabongo Md NPPES

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

AUGUSTINE K KABONGO MD (NPI 1467795930) is an individual internal medicine provider in Davenport, Iowa, licensed in Iowa (40864) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1467795930

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameAUGUSTINE K KABONGOCredential: MD

Location Address1227 E RUSHOLME STDavenport, IA 52803-2459

Mailing Address1227 E Rusholme StDavenport, IA 52803-2459 · (563) 421-7882

Phone(563) 421-7882

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateApril 2, 2013

Last NPPES UpdateAugust 16, 2024

NPPES CertifiedAugust 16, 2024

✔ NPI 1467795930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IA · 40864✔ Licensed in IA · 00000✔ Licensed in IL · 036135047

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1227 E RUSHOLME ST, Davenport, IA 52803

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Augustine K Kabongo 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 ID6709029515

PECOS Enrollment IDI20130827000292

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.

Medicare Billing Reassignments

Medicare enrollment records show Augustine Kabongo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Health System

Same address

Surgery

1227 E RUSHOLME ST
Davenport, IA 52803

Reassigned Medicare billing, Iowa enrollment
358 clinicians in this Medicare group

NPI 1528616901 (563) 421-3408

Theoria Medical

371 mi

Internal Medicine

41800 W 11 MILE RD STE 109
Novi, MI 48375

Reassigned Medicare billing, Iowa and Illinois enrollments
36 clinicians in this Medicare group

NPI 1609362375 (248) 860-4634

Complexcare Medical Group Midwest H PLLC

371 mi

Internal Medicine

41800 W 11 MILE RD STE 109
Novi, MI 48375

Reassigned Medicare billing, Illinois enrollment
31 clinicians in this Medicare group

NPI 1457144933 (248) 660-1220

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 11

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.

263 services102 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

94 services94 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

62 services61 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.

59 services58 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

42 services36 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

30 services24 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

26 services26 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

19 services11 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.

16 services16 patients

Advance care planning, first 30 minutes 99497

16 services16 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

15 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · Rock Island County

Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160080

Location1410 North 4th StreetClinton, IA 52732 · Clinton County

Emergency services Birthing friendly

Genesis Medical Center-Dewitt

Critical Access Hospitals · Dewitt, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161313

Location1118 11th StreetDewitt, IA 52742 · Clinton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52803 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$4.11 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.

JOHANNA LAIDIG D.O.

Anesthesiology