OLEG LOGVINOVICH KIBUKEVICH MD
NPI 1407559610
Student in an Organized Health Care Education/Training Program in Towson, MD

Q: What is Oleg Kibukevich's NPI number?

The NPI number for Oleg Kibukevich is 1407559610. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Oleg Kibukevich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Oleg Kibukevich was last updated on February 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2023PECOS Enrolled

6565 N CHARLES ST STE 203, TOWSON, MD 21204(443) 849-3760 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Oleg Logvinovich Kibukevich Md NPPES

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

OLEG LOGVINOVICH KIBUKEVICH MD (NPI 1407559610) is an individual student in an organized health care education/training program in Towson, Maryland and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1407559610

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameOLEG LOGVINOVICH KIBUKEVICHCredential: MD

Location Address6565 N CHARLES ST STE 203Towson, MD 21204-5805

Mailing Address4161 Dewey AveRochester, NY 14616-1214

Phone(443) 849-3760

Sole ProprietorNo

Enumeration DateMarch 24, 2023

Last NPPES UpdateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1407559610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6565 N CHARLES ST STE 203, Towson, MD 21204

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Secondary Practice Location 1

Location 11425 Portland Ave Bldg 3Rochester, NY 14621-3095 · Phone (585) 922-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oleg Logvinovich Kibukevich 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.

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.

DR. MICHELE R DEMUSIS M.D.

Internal Medicine