Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Igor Wanko Mboumi, MD

Individual provider Surgery Physician · NPI 1225473929

Igor Wanko Mboumi, MD is a General Surgery in Indianapolis, Indiana. Qualified in 2013, 13 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Wisconsin.

Years since qualifying
13
Licensed in
IN, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5255 E Stop 11 RD Ste 450
Indianapolis, IN 46237-6342
Phone: (317) 865-4800
Fax: (317) 865-4806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6075 Croix Dr, Fitchburg, WI 53719 — (240) 478-5916
  • 6075 Croix Dr, Fitchburg, WI 53719 — (240) 478-5916

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01082242A (IN)
Surgery Physician Taxonomy 208600000X · Licence 68807 (WI)

Record details

NPI number1225473929
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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