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EMMANUEL TED MBUALUNGU MD
NPI 1881749166
Internal Medicine in Washington, DC

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
58.15/100
CMS Quality Rating
106 IRVING ST NW, SUITE 403, WASHINGTON, DC 20010(202) 291-1645(202) 291-1062 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emmanuel Ted Mbualungu Md NPPES

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

EMMANUEL TED MBUALUNGU MD (NPI 1881749166) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (21791) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1993).

NPPES Registry Identity

NPI1881749166
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEMMANUEL TED MBUALUNGUCredential: MD
Location Address106 IRVING ST NW, SUITE 403Washington, DC 20010-2989
Mailing Address14600 Cedar Knoll DrCentreville, VA 20120-2895 · (703) 968-2855
Phone(202) 291-1645
Fax(202) 291-1062
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 1993
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJanuary 18, 2012
✔ NPI 1881749166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · 21791
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.
106 IRVING ST NW, Washington, DC 20010
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Other Identifiers 3

Medicare UPING55432DC
Medicare ID-Type UnspecifiedG01481DC
Medicaid22932100DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emmanuel Ted Mbualungu Md 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 ID1052302999
PECOS Enrollment IDI20040524000213
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
417 services179 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
335 services185 patients
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.
262 services36 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
90 services90 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
35 services23 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.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

58.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.51
Improvement Activities0
Cost55.44

Reported Quality Measures

e-Prescribing
98%1,620 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%289 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 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers48 claims101 services$5.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers21 claims26 services$1.05 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$14.30 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier12 claims12 services$73.71 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
3 suppliers28 claims28 services$66.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$32.92 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.

DR. RUMANA KAZMI M.D.
Pediatrics
106 IRVING ST NW, 306
WASHINGTON, DC 20010
District of Columbia (202) 291-2900
RUI LU
Internal Medicine (Endocrinology, Diabetes & Metabolism)
106 IRVING ST NW, SUITE 411 SOUTH
WASHINGTON, DC 20010
District of Columbia (202) 877-7080
MARIAH COVINGTON
Psychologist (Clinical Child & Adolescent)
106 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 863-2282
MARGARET L MONTGOMERY CNM
Midwife
106 IRVING ST NW, SUITE 4700 NORTH
WASHINGTON, DC 20010
District of Columbia (202) 877-7479
DR. MARIE-ANNE DRAOUI MD
Obstetrics & Gynecology
106 IRVING ST NW, SUITE 4400 NORTH
WASHINGTON, DC 20010
District of Columbia (202) 877-6933
MRS. LESLEY KATHRYN SANDERS PSYCHOLOGIST
Psychologist (Clinical)
106 IRVING ST NW, SUITE 2300
WASHINGTON, DC 20010
District of Columbia (301) 367-4827
SUSAN L LAESSIG MD
Internal Medicine (Gastroenterology)
106 IRVING ST NW, STE 205
WASHINGTON, DC 20010
District of Columbia (202) 829-0170
DR. MARTIN P KOLSKY M.D.
Ophthalmology
106 IRVING ST NW, SUITE 321
WASHINGTON, DC 20010
District of Columbia (202) 882-0200

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 Emmanuel Mbualungu's NPI number?

The NPI number for Emmanuel Mbualungu is 1881749166. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Emmanuel Mbualungu located?

Emmanuel Mbualungu practices at 106 Irving St NW Suite 403, Washington, DC 20010. The listed phone number is (202) 291-1645.

What is Emmanuel Mbualungu's specialty?

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

Is Emmanuel Mbualungu enrolled in Medicare?

Yes. Emmanuel Mbualungu 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.

When was this NPI record last updated?

The NPPES record for Emmanuel Mbualungu was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.