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KYOKO SEMBONGI
NPI 1861157414
Nurse Practitioner - Acute Care in Baltimore, MD

Active since November 08, 2021PECOS Enrolled
98.58/100
CMS Quality Rating
22 S GREENE ST, BALTIMORE, MD 21201(667) 214-1734(410) 706-6976 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Nov 8, 2021 (2 updates tracked since 2021).

About Kyoko Sembongi NPPES

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

KYOKO SEMBONGI (NPI 1861157414) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (AC005192) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861157414
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKYOKO SEMBONGI
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing Address29 S Greene St Ste 502Baltimore, MD 21201-1504 · (667) 214-1734 · Fax (410) 706-6976
Phone(667) 214-1734
Fax(410) 706-6976
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 8, 2021
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1861157414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MD · AC005192
22 S GREENE ST, Baltimore, MD 21201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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)

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

PECOS PAC ID7416341789
PECOS Enrollment IDI20260513001723
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

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.
28 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

98.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.72
Promoting Interoperability100
Improvement Activities40
Cost69.22

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.

DR. LEONARD ANANG SOWAH M.D.
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-4619
VISHAL BHATNAGAR MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NANCE J FOX P.A.-C
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Baltimore City (410) 328-1170
HILARY TAMARA WOLF MD
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 328-7373
MS. LINDSAY BREAM O'MEARA CRNP
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Baltimore City (410) 328-3365
NORA T OLIVER M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756
SHOSHANA JO WEINER
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (617) 214-1332
JENNA VANLIERE CANZONIERO M.D.
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756

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 Kyoko Sembongi's NPI number?

The NPI number for Kyoko Sembongi is 1861157414. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Kyoko Sembongi located?

Kyoko Sembongi practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (667) 214-1734.

What is Kyoko Sembongi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kyoko Sembongi enrolled in Medicare?

Yes. Kyoko Sembongi is registered in the Medicare PECOS enrollment system.

What insurance does Kyoko Sembongi accept?

Health plans from Oscar Insurance Company list Kyoko Sembongi 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 Kyoko Sembongi was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.