| NPI | 1083977706 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2012-06-18 |
| Last Updated | 2025-06-23 |
| Mailing Address | 611 W Park St, Fapc Urbana, IL 61801-2500 United States 📍 View Map |
| Primary Practice Address | 611 W Park St Urbana, IL 61801-2501 United States Phone: (217) 383-3100 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2086S0120X – Surgery, Pediatric Surgery | VA | 0101272864 |
| Yes | 2086S0120X – Surgery, Pediatric Surgery | IL | 036173369 |
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About NPI 1083977706
Sandra Kabagambe MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083977706. The primary specialty listed is Surgery, Pediatric Surgery. The provider is located in Urbana, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-06-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083977706?
NPI 1083977706 belongs to Sandra Kabagambe MD, a Surgery, Pediatric Surgery in Urbana, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083977706 active?
The current status of NPI 1083977706 in the NPPES registry is Active. The record was last updated on 2025-06-23.
What specialty is NPI 1083977706?
NPI 1083977706 is classified under the taxonomy Surgery, Pediatric Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083977706?
You can verify NPI 1083977706 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083977706?
The primary practice address on file for NPI 1083977706 is 611 W Park St, Urbana, IL 61801-2501. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083977706 issued?
NPI 1083977706 was first issued (enumerated) on 2012-06-18. The NPPES record was last updated on 2025-06-23.
Practice Location Map
Sandra Kabagambe is located at 611 W Park St, Urbana, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sandra Kabagambe. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083977706. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery, Pediatric Surgery | 0101272864 | VA |
| Surgery, Pediatric Surgery | 036173369 | IL |