DR. ALBERT E KOMBE MD
NPI 1952937922
Family Medicine in Shiloh, IL
About Dr. Albert E Kombe Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALBERT E KOMBE MD (NPI 1952937922) is an individual family medicine provider in Shiloh, Illinois, licensed in Illinois (036166187) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Albert E Kombe 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.
Medicare Billing Reassignment
Medicare enrollment records show Albert Kombe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pana, IL 62557
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Hshs Medical Group Inc
- 317 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILSt Josephs Hospital
Acute Care Hospitals · Breese, ILSt Marys Hospital
Acute Care Hospitals · Decatur, ILMemorial Hospital
Acute Care Hospitals · Belleville, ILHshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Albert Kombe's NPI number?
The NPI number for Albert Kombe is 1952937922. It was assigned to this individual provider in the NPPES registry on March 20, 2020.
Where is Albert Kombe located?
Albert Kombe practices at 1116 Hartman Ln, Shiloh, IL 62221. The listed phone number is (618) 641-5803.
What is Albert Kombe's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Albert Kombe enrolled in Medicare?
Yes. Albert Kombe 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 organization bills Medicare for Albert Kombe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Albert Kombe reassigns Medicare benefits to Sjl Health Systems Inc (Pana, IL). The 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 Albert Kombe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Albert Kombe accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Albert Kombe 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 Albert Kombe affiliated with any hospitals?
According to CMS data, Albert Kombe is affiliated with St Johns Hospital, St Josephs Hospital, St Marys Hospital, Memorial Hospital and Hshs St Elizabeth's Hospital.
When was this NPI record last updated?
The NPPES record for Albert Kombe was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Albert E Kombe, MD · NPI 1952937922
Family Medicine physician in Shiloh, Illinois. Individual provider, active in the CMS NPPES registry since March 20, 2020.
## Identity
- **NPI:** 1952937922 (Entity type: Individual)
- **Enumerated:** March 20, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036166187 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1116 HARTMAN LN, Shiloh, IL 62221-8014
- **Phone:** (618) 641-5803 · **Fax:** (618) 607-5116
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sjl Health Systems Inc (NPI 1215037353, Pana, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952937922) · Data from the CMS NPPES public registry.