GRACE KIBUULE MD
NPI 1124642251
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Grace Kibuule Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE KIBUULE MD (NPI 1124642251) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Grace Kibuule Md 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 Grace Kibuule reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Cruz, CA 95065
- Reassigned Medicare billing, California enrollment
- 45 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.
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 Grace Kibuule's NPI number?
The NPI number for Grace Kibuule is 1124642251. It was assigned to this individual provider in the NPPES registry on June 4, 2020.
Where is Grace Kibuule located?
Grace Kibuule practices at 513 Parnassus Ave., S455, San Francisco, CA 94143. The listed phone number is (415) 514-3781.
What is Grace Kibuule's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Grace Kibuule enrolled in Medicare?
Yes. Grace Kibuule 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 Grace Kibuule's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kibuule reassigns Medicare benefits to Anesthesia Medical Group Of Santa Cruz, Inc. (Santa Cruz, 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 Grace Kibuule'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 Grace Kibuule was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Grace Kibuule, MD · NPI 1124642251
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since June 4, 2020.
## Identity
- **NPI:** 1124642251 (Entity type: Individual)
- **Enumerated:** June 4, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 513 PARNASSUS AVE., S455, San Francisco, CA 94143
- **Phone:** (415) 514-3781
## 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:** Anesthesia Medical Group Of Santa Cruz, Inc. (NPI 1871541144, Santa Cruz, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124642251) · Data from the CMS NPPES public registry.