NPIMap

Individual provider Active NPI

Denis Kamberov, MD

  • Internal Medicine Physician
  • Mansfield, LA
National Provider Identifier
1932188422
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L12090R Issued in LA
Practice address
130 Jefferson Street
Mansfield, LA 71052
Phone
(318) 872-2700
Fax
(318) 872-6214
NPI assigned
Jan 12, 2006
Last updated
May 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L12090R LA Primary

Addresses

Primary practice location

130 Jefferson Street
Mansfield, LA 71052

Mailing address

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-2700

Other identifiers 4

IdentifierTypeStateIssuer
G56567OtherSTERLING OPTION 1
110190542OtherRAILROAD MEDICARE
721417526KAOtherOCHSNERS
1530069MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000374 LA Practitioner - Internal Medicine 0941386882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desoto Regional Family MedicineGroup PAC ID 7719970599, 8 clinicians
Desoto Hospital AssociationGroup PAC ID 2163321829, 35 clinicians

Practice addresses (Care Compare)

130 Jefferson St
Mansfield, LA 71052-2602
Phone (318) 872-2700

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 871-3109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L12090RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Regional Family Medicine CurrentSince May 1, 1998 Accepting new patients
Desoto Hospital Association CurrentSince Dec 6, 2025 Accepting new patients
Desoto Hospital Association CurrentSince Dec 6, 2025 Accepting new patients
Desoto Hospital Association CurrentSince May 1, 1998 Accepting new patients
Superior Hospice of Northwest Louisiana, LLC Past Accepting new patients
Mansfield Nursing Center, L.L.C. Past Accepting new patients
Desoto Retirement & Rehab Center, LLC Past Accepting new patients

Locations

110 Main St
Logansport, LA 71049
Phone (318) 872-0747

130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

Interoperability endpoints

  • Direct secure messaging: denis.kamberov@drfmc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEDHAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Superior Hospice of Northwest Louisiana, LLCMansfield, LA, CCN 191664 Hospice 5% Or Greater Direct Ownership Interest (5%) Nov 1, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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

Hospital & facility affiliations 10

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1932188422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522603",
            "telephone_number": "318-872-2700",
            "fax_number": "318-872-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JEFFERSON STREET",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "71052",
            "telephone_number": "318-872-2700",
            "fax_number": "318-872-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBEROV",
        "first_name": "DENIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "L12090R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION 1",
            "identifier": "G56567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110190542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCHSNERS",
            "identifier": "721417526KA",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530069",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, LA

Sources for this page

Verify at the official NPI Registry.