BAMOYO NKONGOLO P.A.-C.
NPI 1962559500
Physician Assistant in Baltimore, MD

Active since January 05, 2007PECOS Enrolled
80.17/100
CMS Quality Rating
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bamoyo Nkongolo P.a.-c. NPPES

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

BAMOYO NKONGOLO P.A.-C. (NPI 1962559500) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0003263) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1962559500
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBAMOYO NKONGOLOCredential: P.A.-C.
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address3309 W Rogers AveBaltimore, MD 21215-4738 · (410) 367-1939
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1962559500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0003263
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4940 EASTERN AVE, Baltimore, MD 21224

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bamoyo Nkongolo P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941218655
PECOS Enrollment IDI20070607000482, I20230320000205
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services79 patients
Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
46 services23 patients
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.
42 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services32 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Obstetrics & Gynecology (Gynecology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224

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 Bamoyo Nkongolo's NPI number?

The NPI number for Bamoyo Nkongolo is 1962559500. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Bamoyo Nkongolo located?

Bamoyo Nkongolo practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0100.

What is Bamoyo Nkongolo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bamoyo Nkongolo enrolled in Medicare?

Yes. Bamoyo Nkongolo is registered in the Medicare PECOS enrollment system.

Is Bamoyo Nkongolo affiliated with any hospitals?

According to CMS data, Bamoyo Nkongolo is affiliated with Sinai Hospital Of Baltimore and Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Bamoyo Nkongolo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.