MR. KUMALO AKIIM BOGAN
NPI 1861791519
Social Worker - Clinical in Fort Sam Houston, TX

Active since March 21, 2011PECOS Enrolled
3851 ROGER BROOKE DR, MCHE-QD (CRED), FORT SAM HOUSTON, TX 78234(210) 916-2460 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Kumalo Akiim Bogan NPPES

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

MR. KUMALO AKIIM BOGAN (NPI 1861791519) is an individual clinical provider in Fort Sam Houston, Texas, licensed in Texas (101092301) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861791519
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KUMALO AKIIM BOGAN
Location Address3851 ROGER BROOKE DR, MCHE-QD (CRED)Fort Sam Houston, TX 78234-4501
Mailing Address3851 Roger Brooke Dr, Mche-qd (cred)Fort Sam Houston, TX 78234-4501 · (210) 916-2460
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 21, 2011
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1861791519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 101092301
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3851 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kumalo Akiim Bogan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204336993
PECOS Enrollment IDI20251001002438
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

3

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

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Texas enrollment
  • 484 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina and Texas enrollments
  • 712 clinicians in this Medicare group
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 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
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychologist
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Anesthesiology (Critical Care Medicine)
3851 ROGER BROOKE DR, MCHE-QD (CREDENTIALS)
FORT SAM HOUSTON, TX 78234
Nurse Practitioner (Acute Care)
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD(CREDS)
FORT SAM HOUSTON, TX 78234
Occupational Therapy Assistant
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physical Therapist
3851 ROGER BROOKE DR, MCHE-QD (CRENDENTIALS)
FORT SAM HOUSTON, TX 78234
Anesthesiology
3851 ROGER BROOKE DR, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234
Internal Medicine
3851 ROGER BROOKE DR, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234
Radiology (Therapeutic Radiology)
3851 ROGER BROOKE DR, MCHE-QD (CREDENTIALS)
FORT SAM HOUSTON, TX 78234

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 Kumalo Bogan's NPI number?

The NPI number for Kumalo Bogan is 1861791519. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Kumalo Bogan located?

Kumalo Bogan practices at 3851 Roger Brooke Dr Mche-Qd (cred), Fort Sam Houston, TX 78234. The listed phone number is (210) 916-2460.

What is Kumalo Bogan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kumalo Bogan enrolled in Medicare?

Yes. Kumalo Bogan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kumalo Bogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kumalo Bogan reassigns Medicare benefits to 3 organizations: Sondermind Provider Network LLC (Denver, CO), Grow Healthcare Group PA (Miami, FL) and Sondermind PC (San Jose, CA). 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 Kumalo Bogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kumalo Bogan accept?

Health plans from Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and UnitedHealthcare list Kumalo Bogan 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 Kumalo Bogan was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.