Christine Kabanga Ilunga, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD211693 Issued in OR

Practice address

2400 Wayne Memorial Dr
Suite D
Goldsboro, NC 27534-1789

Phone

(919) 734-0909

Fax

(919) 734-3233

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL, MT, OR3 enrollments

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 3

Specialty

Nephrology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renal Associates of Montgomery, P.C.Group PAC ID 6608894019, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
• Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGHAAA
• Direct secure messaging: cilunga3011742@carolinashealthcaresystem.direct-ci.com

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.

• Renal Associates of Montgomery, P.C.

  • Nephrology Physician
  • Montgomery, AL
  • NPI 1881659423
  Medicare reassignment Care Compare group NPD
• Baptist Health Centers, LLC

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment NPD
• Kidney and Hypertension Specialists of Alabama, PLLC

  • Nephrology Physician
  • Montgomery, AL
  • NPI 1477111268
  Medicare reassignment NPD
• Legacy Good Samaritan Hospital and Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1780608216
  Medicare reassignment NPD
• Providence Health & Services Mt

  • Rehabilitation Hospital Unit
  • Missoula, MT
  • NPI 1144319138
  Medicare reassignment NPD
• Baptist Health Centers LLC

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD
• Legacy Good Samaritan Hospital and Medical Center

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1609896174
  NPD
• Providence Health & Services Mt

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1215222617
  NPD
• Providence Health & Services Mt

  • General Acute Care Hospital
  • Ronan, MT
  • NPI 1669773651
  NPD
• Columbus Regional Health Network

  • Family Medicine Physician
  • Whiteville, NC
  • NPI 1518263268
  NPD (past)
• WRMC Hospital Operating Corporation

  • Hospitalist Physician
  • North Wilkesboro, NC
  • NPI 1093737082
  NPD (past)
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069

  Nephrology

  NPD (past)

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

• Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1285725697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WAYNE MEMORIAL DR",
            "address_2": "SUITE D",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341789",
            "telephone_number": "919-734-0909",
            "fax_number": "919-734-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WAYNE MEMORIAL DR",
            "address_2": "SUITE D",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341789",
            "telephone_number": "919-734-0909",
            "fax_number": "919-734-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 N Reserve St Ste D",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081395",
            "country_code": "US",
            "telephone_number": "406-327-7000",
            "fax_number": "406-541-7150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 NW Samaritan Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303771",
            "country_code": "US",
            "telephone_number": "541-768-6930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILUNGA",
        "first_name": "CHRISTINE",
        "middle_name": "KABANGA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "9800069",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD211693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1108J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891108J",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cilunga240976@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3615 NW Samaritan Dr Ste 203",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Syed Hanif Hussaini, MD
• Felicia D Hussey, M.D., P.A.
• HV Murray III DDS PA
• Jackson Mark Hylton Jr., MD
• Nathaline Ignacio, LPCA
• Timothy Imafidon Jr., D.D.S.
• Immediate Care of Goldsboro, PLLC
• Impact Home Care Solutions, LLC
• Jennifer Asheton Ingersoll, M.D.
• Inner Healing Ministry

• Nephrology Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.