SAMMY M. MUGAMBI (M.D.) – Nephrology Physician, NPI 1427077510
Nephrology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for SAMMY M. MUGAMBI (M.D.)
3620 M L KING JR DR SW
ATLANTA, GA 303313711
Phone: (404) 696-7300
Fax: (404) 699-3514
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $219.
Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.
Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Baxter Healthcare ($116).
Total Amount
$219
General + Research + Ownership
Payments
14
Total payment records
General Amount
$219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $116 |
| Ardelyx, Inc. | $27 |
| ANI Pharmaceuticals, Inc. | $22 |
| Bayer Healthcare Pharmaceuticals Inc. | $21 |
| Amgen Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050915000123 | I | Internal Medicine | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 311 | 63 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 235 | 35 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 218 | 42 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 157 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 33 | $0 |
Insurance plans in this area (ZIP 30331)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | GA | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 92 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | MN | |
| Nephrology, Internal Medicine | GA | |
| N E P H R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| N E P H R O L O G Y | GA | |
| - | GA | |
| Nephrology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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