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DR. RUTENDO NKOMO
NPI 1861841454
Pediatrics in Alton, IL

Active since June 06, 2016PECOS Enrolled
4 MEMORIAL DR STE 210, ALTON, IL 62002(618) 463-0649(618) 465-3390 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2021, Aug 14, 2019 (2 updates tracked since 2019).

About Dr. Rutendo Nkomo NPPES

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

DR. RUTENDO NKOMO (NPI 1861841454) is an individual pediatrics provider in Alton, Illinois, licensed in Illinois (036149842) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861841454
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. RUTENDO NKOMO
Location Address4 MEMORIAL DR STE 210Alton, IL 62002-6751
Mailing Address4 Memorial Dr Ste 210Alton, IL 62002-6751 · (618) 463-0649 · Fax (618) 465-3390
Phone(618) 463-0649
Fax(618) 465-3390
Sole ProprietorNo
Enumeration DateJune 6, 2016
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
✔ NPI 1861841454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036149842✔ Licensed in IL · 125.069063
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4 MEMORIAL DR STE 210, Alton, IL 62002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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)

Dr. Rutendo Nkomo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE A TARDINO MSN ANP
Nurse Practitioner (Adult Health)
4 MEMORIAL DR STE 210
ALTON, IL 62002
Madison County (618) 463-5905
DR. BRYAN EVERETT STEELE MD
Family Medicine
4 MEMORIAL DR STE 210
ALTON, IL 62002
Madison County (618) 463-5905
CHRISTAL GABRIELSON
Counselor (Mental Health)
4 MEMORIAL DR STE 210
ALTON, IL 62002
Madison County (618) 465-8829
SHARON JAMESON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4 MEMORIAL DR STE 210
ALTON, IL 62002
Madison County (618) 465-8829
DR. JAMIE HARDMAN MD
Obstetrics & Gynecology
4 MEMORIAL DR STE 210
ALTON, IL 62002
Madison County (618) 463-5905
DR. SIRISAK SUNTHARASANTIC MD
Pediatrics
4 MEMORIAL DR STE 210
ALTON, IL 62002
Madison County (618) 463-0649
KELSEY M BEARD FNP-BC, DNP
Nurse Practitioner (Family)
4 MEMORIAL DR STE 210
ALTON, IL 62002
Madison County (618) 463-5905
DR. GEOFFREY L. TURNER MD
Obstetrics & Gynecology
4 MEMORIAL DR STE 210
ALTON, IL 62002
Madison County (618) 463-5905

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 Rutendo Nkomo's NPI number?

The NPI number for Rutendo Nkomo is 1861841454. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Rutendo Nkomo located?

Rutendo Nkomo practices at 4 Memorial Dr Ste 210, Alton, IL 62002. The listed phone number is (618) 463-0649.

What is Rutendo Nkomo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rutendo Nkomo enrolled in Medicare?

Yes. Rutendo Nkomo is registered in the Medicare PECOS enrollment system.

What insurance does Rutendo Nkomo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Rutendo Nkomo 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 Rutendo Nkomo was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.