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KIBIBI DAVISON DPM
NPI 1063676575
Podiatrist - Primary Podiatric Medicine in Tampa, FL

Active since July 14, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
7532 CLEARVIEW DR, TAMPA, FL 33634(813) 525-6135 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kibibi Davison Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIBIBI DAVISON DPM (NPI 1063676575) is an individual primary podiatric medicine provider in Tampa, Florida, licensed in Illinois (016.005441) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Temple University School Of Medicine (2008).

NPPES Registry Identity

NPI1063676575
Entity TypeIndividualFemale
Primary Taxonomy213EP1101X
Provider Legal NameKIBIBI DAVISONCredential: DPM
Location Address7532 CLEARVIEW DRTampa, FL 33634
Mailing Address7532 Clearview DrTampa, FL 33634-2930 · (813) 525-6135
Phone(813) 525-6135
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2008
Enumeration DateJuly 14, 2008
Last NPPES UpdateMarch 11, 2019
✔ NPI 1063676575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
Licenses✔ Licensed in IL · 016.005441✔ Licensed in IN · 07001101A
Also ListedPodiatristTaxonomy 213E00000X · License SC006042 (PA), PO4035 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License SC006042 (PA)
7532 CLEARVIEW DR, Tampa, FL 33634
Open in Google Maps ↗

Secondary Practice Location 1

Location 16347 S Drexel Ave Unit 1Chicago, IL 60637-3501 · Phone (813) 525-6135

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kibibi Davison Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810023413
PECOS Enrollment IDI20190404001590
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kibibi Davison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

In Home Podiatry Sc
Same address
Primary Podiatric Medicine
7532 CLEARVIEW DR
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
NPI 1285196956 (813) 525-6135

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,310 services483 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
385 services133 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
239 services196 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
196 services196 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
188 services69 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
37 services23 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IN HOME PODIATRY SC
Podiatrist (Primary Podiatric Medicine)
7532 CLEARVIEW DR
TAMPA, FL 33634
Hillsborough County (813) 525-6135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kibibi Davison's NPI number?

The NPI number for Kibibi Davison is 1063676575. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Kibibi Davison located?

Kibibi Davison practices at 7532 Clearview Dr, Tampa, FL 33634. The listed phone number is (813) 525-6135.

What is Kibibi Davison's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Kibibi Davison enrolled in Medicare?

Yes. Kibibi Davison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kibibi Davison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kibibi Davison reassigns Medicare benefits to In Home Podiatry Sc (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kibibi Davison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kibibi Davison was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.