VICTOR KIEBALO MD
NPI 1225655749
Radiology - Diagnostic Radiology in Jacksonville, FL
About Victor Kiebalo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICTOR KIEBALO MD (NPI 1225655749) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME173325) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Oklahoma City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Victor Kiebalo 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 Reassignments
2Medicare enrollment records show Victor Kiebalo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kissimmee, FL 34741
- Reassigned Medicare billing, Florida enrollment
- 83 clinicians in this Medicare group
Wesley Chapel, FL 33544
- Reassigned Medicare billing, Florida enrollment
- 173 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLLakeland Regional Medical Center
Acute Care Hospitals · Lakeland, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Victor Kiebalo's NPI number?
The NPI number for Victor Kiebalo is 1225655749. It was assigned to this individual provider in the NPPES registry on June 30, 2020.
Where is Victor Kiebalo located?
Victor Kiebalo practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Victor Kiebalo's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Victor Kiebalo enrolled in Medicare?
Yes. Victor Kiebalo 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 organizations bill Medicare for Victor Kiebalo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Victor Kiebalo reassigns Medicare benefits to 2 organizations: Radiology & Imaging Specialists Of Lakeland, PA (Kissimmee, FL) and Baycare Outpatient Imaging LLC (Wesley Chapel, FL). Each 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 Victor Kiebalo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Victor Kiebalo accept?
Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Victor Kiebalo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Victor Kiebalo affiliated with any hospitals?
According to CMS data, Victor Kiebalo is affiliated with Mayo Clinic and Lakeland Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Victor Kiebalo was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Victor Kiebalo, MD · NPI 1225655749
Diagnostic Radiology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 30, 2020.
## Identity
- **NPI:** 1225655749 (Entity type: Individual)
- **Enumerated:** June 30, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** ME173325 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Radiology & Imaging Specialists Of Lakeland, PA (NPI 1124530761, Kissimmee, FL); Baycare Outpatient Imaging LLC (NPI 1235898529, Wesley Chapel, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225655749) · Data from the CMS NPPES public registry.