DR. KARIS DIANADRA MAKOKO BAMBA MD
NPI 1639985385
Student in an Organized Health Care Education/Training Program in Houston, TX

Q: What is Karis Bamba's NPI number?

The NPI number for Karis Bamba is 1639985385. It was assigned to this individual provider in the NPPES registry on December 7, 2024.

Q: What is Karis Bamba's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Karis Bamba was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 07, 2024PECOS Enrolled

1100 W 34TH ST, HOUSTON, TX 77018(713) 861-3939 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Dec 7, 2024 (2 updates tracked since 2024).

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About Dr. Karis Dianadra Makoko Bamba Md NPPES

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

DR. KARIS DIANADRA MAKOKO BAMBA MD (NPI 1639985385) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639985385

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. KARIS DIANADRA MAKOKO BAMBACredential: MD

Location Address1100 W 34TH STHouston, TX 77018-6206

Mailing Address1100 W 34th StHouston, TX 77018-6206 · (713) 861-3939

Phone(713) 861-3939

Sole ProprietorNo

Enumeration DateDecember 7, 2024

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1639985385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1100 W 34TH ST, Houston, TX 77018

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karis Dianadra Makoko Bamba Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ERIC WARWICK MD

Family Medicine