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Active NPI 1225473929 Individual Practitioner Male Practitioner

Dr. Igor Wanko Mboumi , MD

Surgery • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Igor Wanko Mboumi, MD is a certified Surgery practicing in Indianapolis, IN. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Wanko Mboumi delivers high-quality medical care to the local community at 5255 E STOP 11 RD STE 450.

Dr. Wanko Mboumi is affiliated with Franciscan Physician Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5255 E Stop 11 Rd Ste 450

Indianapolis, IN 462376342

Telephone 3178654800
Fax 3178654806
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Indianapolis, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -8.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
148 Specialists

Practicing in Indianapolis, IN (657 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wanko Mboumi (13 Years) 13 Yrs
Indianapolis Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
105 68 $144.00 $72.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
50 48 $356.00 $160.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
48 48 $240.00 $118.14
99213 Established patient office or other outpatient visit, typically 15 minutes
30 25 $180.00 $81.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
28 24 $217.00 $106.23
47562 Removal of gallbladder using an endoscope
26 26 $1302.00 $550.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $242.00 $103.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $360.00 $122.81

Medical Specialties & State Licenses

CMS Verified: 2023-08-24
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01082242A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 68807

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Franciscan Physician Network

5255 E Stop 11 Rd, Indianapolis, IN 462376341

Franciscan Physician Network

1203 E Hadley Rd, Mooresville, IN 461581885

Phone: 3178348062

Franciscan Physician Network

1205 Hadley Rd, Mooresville, IN 461581737

Phone: 3177817344

Franciscan Physician Network

1203 Hadley Rd, Mooresville, IN 461581885

Phone: 3175281212

Franciscan Physician Network

1704 Lafayette Rd, Crawfordsville, IN 479331071

Franciscan Physician Network

1205 Hadley Rd, Mooresville, IN 461581737

Phone: 3177817391

Franciscan Physician Network

1201 Hadley Rd, Mooresville, IN 461581737

Phone: 3178655904

Franciscan Physician Network

150 W Washington St, Shelbyville, IN 461761236

Phone: 3178655904

Franciscan Physician Network

1205 E Hadley Rd, Mooresville, IN 461581737

Phone: 3178319469

Franciscan Physician Network

8111 S Emerson Ave, Indianapolis, IN 462378601

Franciscan Physician Network

1201 Hadley Rd, Mooresville, IN 461581737

Phone: 3177817381

Secondary Practice Locations

6075 Croix Dr

Fitchburg, WI 53719

Phone: 2404785916

6075 Croix Dr

Fitchburg, WI 53719

Phone: 2404785916

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1003178898

Doctor of Medicine (M.D.)

Chloe Dehmlow

Student in an Organized Health Care Education/Training Program

NPI 1023824430
Jackie Tank , PA

Physician Assistant

NPI 1043854409

Physician Assistant

Dr. Sean Mcguire , MD

Student in an Organized Health Care Education/Training Program

NPI 1114417599

Doctor of Medicine (M.D.)

Gregory Buckingham , MSN, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1184359713

Master of Science in Nursing, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Katherine Boone

Physician Assistant - Surgical

NPI 1215196241

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location August 24, 2023

Registered at 5255 E STOP 11 RD STE 450, INDIANAPOLIS, IN 462376342 (Tel: 3178654800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2023

Surgery (License #68807 in WI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2021

Surgery (License #01082242A in IN)

📍
Updated Practice Location August 23, 2019

Registered at 5255 E STOP 11 RD STE 450, INDIANAPOLIS, IN 46237 (Tel: 3178654800)

📍
Updated Business Mailing Address August 23, 2019

Registered at PO BOX 781076, DETROIT, MI 482781076 (Tel: 3175284800)

📍
Updated Practice Location August 06, 2019

Registered at 6075 CROIX DR, FITCHBURG, WI 53719 (Tel: 2404785916)

📍
Updated Business Mailing Address August 06, 2019

Registered at 6075 CROIX DR, FITCHBURG, WI 537195109

📍
Updated Practice Location October 15, 2018

Registered at 600 HIGHLAND AVE, MADISON, WI 53792 (Tel: 6082637502)

📍
Updated Business Mailing Address October 15, 2018

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2018

Surgery (License #68807 in WI)

NPI Profile Active May 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2013

Registered at 1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 257013656 (Tel: 3046911200)

📍
Updated Business Mailing Address May 08, 2013

Registered at 1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 257013656 (Tel: 3046911200)

👤
Provider Name / Credentials Updated May 08, 2013

Recorded as IGOR WANKO MBOUMI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 08, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225473929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2013
Last Update: August 24, 2023
Sole Proprietor: No

Mailing Address

Po Box 781076

Detroit, MI 482781076

Phone: 3175284800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.