VICTOR KIEBALO MD
NPI 1225655749
Radiology - Diagnostic Radiology in Jacksonville, FL

Q: 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.

Q: What is Victor Kiebalo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Victor Kiebalo was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2020PECOS Enrolled

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2025, Jun 28, 2021, Jun 8, 2021 and 1 more (4 updates tracked since 2020).

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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 and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1225655749

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameVICTOR KIEBALOCredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address940 Ne 13th St., Garrison Tower, Suite 3g 3210Oklahoma City, OK 73104-5008 · (405) 271-8001

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateJune 30, 2020

Last NPPES UpdateApril 17, 20254 updates tracked since enumeration

NPPES CertifiedMarch 22, 2025

✔ NPI 1225655749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in FL · ME173325✔ Licensed in OK · 38205

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 1940 NE 13th St., Garrison Tower, Suite 3G 3210Oklahoma City, OK 73104-5008 · Phone (405) 271-8001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victor Kiebalo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician 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.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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