Active NPI
Kuwong Bomwara Mwamukonda, M. D.
- Urology Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35.146670
- Practice address
- 3737 Southern Blvd Ste 4200
Kettering, OH 45429-0135 - Phone
- (937) 294-1489
- Fax
- (937) 294-7999
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35.146670 | OH | Primary |
| Urology Physician | 208800000X | MD427202 | PA |
Addresses
Primary practice location
3737 Southern Blvd Ste 4200
Kettering, OH 45429-0135
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other practice location 1
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-7529
Other practice location 2
3551 Roger Brooke Dr
Urology Clinic, 2nd flr, BAMC
San Antonio, TX 78234
Phone (202) 782-6407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Kentucky College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3737 Southern Blvd
Suite 4200
Kettering, OH 45429-0135
Phone (937) 294-1489
Hospital & facility affiliations
- Kettering Health Main Campus
- Soin Medical Center
- Kettering Health Dayton
- Kettering Health Miamisburg
- Kettering Health Greene Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD427202 | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Alliance Physicians Inc | Current | Accepting new patients |
Locations
3535 Pentagon Blvd
Ste 320
Beavercreek, OH 45431
Phone (937) 490-2270
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3737 Southern Blvd
Ste 4200
Kettering, OH 45429
Phone (937) 813-7348
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
Interoperability endpoints
- kmwamukonda867820@direct.ketteringhealth.org
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Xenia, OH
- NPI 1255317848
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1689849192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310",
"fax_number": "937-522-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 SOUTHERN BLVD STE 4200",
"city": "KETTERING",
"state": "OH",
"postal_code": "454290135",
"telephone_number": "937-294-1489",
"fax_number": "937-294-7999"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-292-7529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Dr",
"address_2": "Urology Clinic, 2nd flr, BAMC",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "78234",
"country_code": "US",
"telephone_number": "202-782-6407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MWAMUKONDA",
"first_name": "KUWONG",
"middle_name": "BOMWARA",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.146670",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD427202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.