GHALIB JIBARA
NPI 1083027312
Urology in New York, NY
About Ghalib Jibara NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GHALIB JIBARA (NPI 1083027312) is an individual urology provider in New York, New York, licensed in New York (296639) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Ghalib Jibara 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.
Medicare Billing Reassignment
Medicare enrollment records show Ghalib Jibara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10065
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 Ghalib Jibara's NPI number?
The NPI number for Ghalib Jibara is 1083027312. It was assigned to this individual provider in the NPPES registry on June 4, 2014.
Where is Ghalib Jibara located?
Ghalib Jibara practices at 1275 York Ave, New York, NY 10065. The listed phone number is (917) 388-5947.
What is Ghalib Jibara's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Ghalib Jibara enrolled in Medicare?
Yes. Ghalib Jibara 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 Ghalib Jibara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ghalib Jibara reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Ghalib Jibara'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 Ghalib Jibara was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ghalib Jibara · NPI 1083027312
Urology physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 4, 2014.
## Identity
- **NPI:** 1083027312 (Entity type: Individual)
- **Enumerated:** June 4, 2014
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 296639 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (917) 388-5947
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** November 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083027312) · Data from the CMS NPPES public registry.