NPIMap

Individual provider Active NPI

Kemunto Phoebe Kakumba, MD

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1528096435
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00043180 Issued in WA
Practice address
5901 N Lidgerwood St
Spokane, WA 99208-5095
Phone
(509) 444-8200
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00043180 WA Primary

Addresses

Primary practice location

5901 N Lidgerwood St
Spokane, WA 99208-5095

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932

Other identifiers 1

IdentifierTypeStateIssuer
8381832MedicaidWA

Other names 1

  • Kemunto Phoebe Omwega-Kakumba Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GU2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040408000986 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5294729703 Reassigns benefits to 1 organization
I20251205001246 GU Practitioner - Family Practice 5294729703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Association of Spokane 222 clinicians
General Conference Corp of Sda 52 clinicians

Practice addresses (Care Compare)

1001 W 2ND Ave
Spokane, WA 99201-4503
Phone (509) 835-1206

388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881

5901 N Lidgerwood St
Spokane, WA 99208-1122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Jan 17, 2023 Accepting new patients
General Conference Corp of Sda CurrentSince Nov 2, 2025 Accepting new patients
Community Health Association of Spokane CurrentSince Jan 17, 2023 Accepting new patients
Community Health Association of Spokane Past Accepting new patients
Community Health Association of Spokane Family Medicine Past Accepting new patients
Our Lady of Lourdes Health Center Past Accepting new patients

Locations

1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002

5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590

5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604

5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990

611 N Iron Bridge Way
Spokane, WA 99202

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393

1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204

Interoperability endpoints

  • Direct secure messaging: kemunto.kakumba.1@31775.direct.athenahealth.com
  • Direct secure messaging: kkakumba1195683@wm.providencedirect.org
  • Direct secure messaging: kemunto.kakumba.1@11411.direct.athenahealth.com

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1528096435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N IRON BRIDGE WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024932",
            "fax_number": "509-444-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085095",
            "telephone_number": "509-444-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKUMBA",
        "first_name": "KEMUNTO",
        "middle_name": "PHOEBE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00043180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8381832",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEMUNTO",
            "last_name": "OMWEGA-KAKUMBA",
            "middle_name": "PHOEBE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.