Individual provider Active NPI

Kwamba Ekwa Nkembe, M.D.

  • General Practice Physician
  • Bassett, VA
National Provider Identifier
1588806244
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101252583 Issued in VA
Practice address
324 T B Stanley Hwy
Bassett, VA 24055-6108
Phone
(276) 629-1076
Fax
(276) 629-2695
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101252583 VA Primary

Addresses

Primary practice location

324 T B Stanley Hwy
Bassett, VA 24055-6108

Mailing address

324 T B Stanley Hwy
Bassett, VA 24055-6108
Phone (276) 629-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20130104000379 VA Practitioner - Family Practice 5193978856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martinsville Physician Practices LLCGroup PAC ID 0143233346, shared by 2 NPIs, 36 clinicians

Practice addresses (Care Compare)

110 Commonwealth Blvd W
Martinsville, VA 24112-1832
Phone (276) 666-7328

319 Hospital Dr
Martinsville, VA 24112-1948

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Physician Practices LLC CurrentSince Oct 2, 2022 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

319 Hospital Dr
Ste 201
Martinsville, VA 24112
Phone (276) 666-7723

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

110 Commonwealth Blvd W
Martinsville, VA 24112
Phone (276) 226-1210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: kwamba.nkembe.1@19847.direct.athenahealth.com

Organizations & group practices 2

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1588806244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 T B STANLEY HWY",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240556108",
            "telephone_number": "276-629-1076",
            "fax_number": "276-629-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 T B STANLEY HWY",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240556108",
            "telephone_number": "276-629-1076",
            "fax_number": "276-629-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKEMBE",
        "first_name": "KWAMBA",
        "middle_name": "EKWA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101252583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassett, VA

Sources for this page

Verify at the official NPI Registry.