DR. ALBERT E KOMBE MD
NPI 1952937922
Family Medicine in Shiloh, IL

Active since March 20, 2020PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1116 HARTMAN LN, SHILOH, IL 62221(618) 641-5803(618) 607-5116 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, Mar 20, 2020 (2 updates tracked since 2020).

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

NPI1952937922
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALBERT E KOMBECredential: MD
Location Address1116 HARTMAN LNShiloh, IL 62221-8014
Mailing Address1116 Hartman LnShiloh, IL 62221-8014 · (618) 641-5803 · Fax (618) 607-5116
Fax(618) 607-5116
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 20, 2020
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1952937922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036166187
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1116 HARTMAN LN, Shiloh, IL 62221

Accepted Insurance

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

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.

PECOS PAC ID2163840174
PECOS Enrollment IDI20230830003230
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 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.

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.
194 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services39 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
47 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
33 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

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, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician 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.

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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
1116 HARTMAN LN
SHILOH, IL 62221
Pharmacist
1116 HARTMAN LN
SHILOH, IL 62221
Family Medicine
1116 HARTMAN LN
SHILOH, IL 62221
Family Medicine
1116 HARTMAN LN
SHILOH, IL 62221
Psychiatry & Neurology (Neurology)
1116 HARTMAN LN
SHILOH, IL 62221
Family Medicine
1116 HARTMAN LN
SHILOH, IL 62221
Family Medicine
1116 HARTMAN LN
SHILOH, IL 62221

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.

What insurance does Albert Kombe accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 2 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.