Individual provider Active NPI

Wambura Neema Mkono, M.D.

  • Pulmonary Disease Physician
  • Boynton Beach, FL
National Provider Identifier
1104002054
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME110611 Issued in FL
Practice address
10075 S Jog Rd Ste 202
Boynton Beach, FL 33437-3536
Phone
(561) 777-5308
Fax
(561) 303-2131
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME110611 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME110611 FL

Addresses

Primary practice location

10075 S Jog Rd Ste 202
Boynton Beach, FL 33437-3536

Mailing address

6615 W. Boynton Beach Blvd PMB 101
Boynton Beach, FL 33437-3536
Phone (561) 777-5308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000061 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1254505068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Critical Care Associates LLCGroup PAC ID 6608186317, 27 clinicians

Practice addresses (Care Compare)

10075 S Jog Rd
Suite 202
Boynton Beach, FL 33437-3536
Phone (561) 303-2131

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.86 of 100Reported as individual
Quality
67.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Critical Care Associates, LLC Critical Care Medicine CurrentSince Jun 1, 2016 Accepting new patients
Bethesda Medical Associates Past Accepting new patients

Locations

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

Interoperability endpoints

  • Direct secure messaging: wambura.mkono@037.emedpractice.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1104002054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W. BOYNTON BEACH BLVD PMB 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373536",
            "telephone_number": "561-777-5308",
            "fax_number": "561-303-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD STE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373536",
            "telephone_number": "561-777-5308",
            "fax_number": "561-303-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKONO",
        "first_name": "WAMBURA",
        "middle_name": "NEEMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME110611",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME110611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.