MR. SYLVERE ROLAND MALONGA – Family Nurse Practitioner, NPI 1497311104

MR. SYLVERE ROLAND MALONGA is a healthcare provider. based in Bolingbrook, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041.301622 (IL). The NPI Number for MR. SYLVERE ROLAND MALONGA is 1497311104

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. SYLVERE ROLAND MALONGA
NPI
1497311104
Phone
(630) 417-9417
Address
1475 BASSWOOD DR
Enumeration Date
17 May 2019
Last Update Date
2 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7738404747
Graduation Year
2018 (8 years ago)
PAC ID
1557272796
Group Practice PAC ID
0547572349
Professional Enrollment ID
I20200529000009
Address ID
IL605615319DA8205XAVEX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MR. SYLVERE ROLAND MALONGA

  • 1475, Basswood Drive, Bolingbrook, Will County, Illinois, 60490, United States

    BOLINGBROOK, IL 604905419

    Phone: (630) 417-9417

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-05-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200529000009INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month700213$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes688258$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes12588$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow5836$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
View full utilization report →

Insurance plans in this area (ZIP 60490)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547572349View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
-IL

Reviews

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Frequently asked questions

What unique ID ties claims to MR. SYLVERE ROLAND MALONGA?
NPI 1497311104 is assigned to MR. SYLVERE ROLAND MALONGA under the national enumeration system.
Is MR. SYLVERE ROLAND MALONGA active in the national directory?
MR. SYLVERE ROLAND MALONGA's public NPI profile is in an active state.
What does MR. SYLVERE ROLAND MALONGA treat or focus on?
Patients typically see MR. SYLVERE ROLAND MALONGA under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MR. SYLVERE ROLAND MALONGA?
We surface Bolingbrook, Illinois for MR. SYLVERE ROLAND MALONGA based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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