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JAMES GITONGA MBOGORI M.D.
NPI 1710185533
Internal Medicine in Kansas City, KS

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY, KANSAS CITY, KS 66160(913) 588-6005(913) 588-3877 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Gitonga Mbogori M.d. NPPES

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

JAMES GITONGA MBOGORI M.D. (NPI 1710185533) is an individual internal medicine provider in Kansas City, Kansas, licensed in Kansas (9406793) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains a secondary practice location in Joplin.

NPPES Registry Identity

NPI1710185533
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES GITONGA MBOGORICredential: M.D.
Location Address3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITYKansas City, KS 66160
Mailing Address3901 Rainbow Blvd., 4070 Delp, Ms 4017, Kansas University Physicians, Inc.Kansas City, KS 66160 · (913) 588-2501
Phone(913) 588-6005
Fax(913) 588-3877
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 3, 2007
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1710185533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 9406793
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.
Also ListedHospitalistTaxonomy 208M00000X · License 2017002689 (MO)
3901 RAINBOW BLVD, 6040 DELP, MS 1020, Kansas City, KS 66160
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Secondary Practice Location 1

Location 11102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-4570

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. 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

James Gitonga Mbogori 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 ID8628100732
PECOS Enrollment IDI20100723000894, I20170307000858
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

5

Medicare enrollment records show James Mbogori reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas University Physicians Inc
0.2 mi
Obstetrics & Gynecology
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 2,139 clinicians in this Medicare group
NPI 1053457978 (913) 588-1227
Dunn Physician Services, LLC
4.4 mi
Hospitalist
2316 E MEYER BLVD
Kansas City, MO 64132
  • Reassigned Medicare billing, Missouri enrollment
  • 85 clinicians in this Medicare group
NPI 1437990082 (816) 276-4000
Hospital Medicine Services Of Mo, LLC
14 mi
Hospitalist
19600 E 39TH ST S
Independence, MO 64057
  • Reassigned Medicare billing, Missouri enrollment
  • 26 clinicians in this Medicare group
NPI 1841997905 (816) 698-7000
Mercy Clinic Springfield Communities
89 mi
Rural Health
309 E HOSPITAL RD
El Dorado Springs, MO 64744
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group
NPI 1851427785 (417) 876-5851
Freeman-Oak Hill Health System
138 mi
Multi-Specialty
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 427 clinicians in this Medicare group
NPI 1679517023 (417) 347-6605

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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
487 services164 patients
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.
110 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
109 services108 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.
73 services71 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%32 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers34 claims34 services$15.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers55 claims55 services$77.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$32.61 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.

MICHOLEE BETH POLSAK DO
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
MRS. JUDITH KHALAMWA NANDWA APRN
Nurse Practitioner (Family)
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
ARCHANA PAREEK M.D.
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
REBECCA W OPOLE M.D.
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
DR. NATHAN MICHAEL SANDERSE M.D.
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL & GERIATRIC MEDICINE, UNIVERSITY OF
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
DEON COX HAYLEY DO
Internal Medicine (Geriatric Medicine)
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
MR. ARAM BARBARYAN MD
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
GILLIAN NATASCHA SCHMIDT MD
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974

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 James Mbogori's NPI number?

The NPI number for James Mbogori is 1710185533. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is James Mbogori located?

James Mbogori practices at 3901 Rainbow Blvd, 6040 Delp, Ms 1020 Division Of General And Geriatric Medicine, University, Kansas City, KS 66160. The listed phone number is (913) 588-6005.

What is James Mbogori's specialty?

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

Is James Mbogori enrolled in Medicare?

Yes. James Mbogori 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.

Which organizations bill Medicare for James Mbogori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mbogori reassigns Medicare benefits to 5 organizations: Kansas University Physicians Inc (Kansas City, KS), Dunn Physician Services, LLC (Kansas City, MO), Hospital Medicine Services Of Mo, LLC (Independence, MO), Mercy Clinic Springfield Communities (El Dorado Springs, MO) and Freeman-Oak Hill Health System (Joplin, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Mbogori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mbogori accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list James Mbogori 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.

Is James Mbogori affiliated with any hospitals?

According to CMS data, James Mbogori is affiliated with University Of Kansas Hospital and Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for James Mbogori was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.