STEFAN R JIBODH M.D.
NPI 1508875642
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Walnut Creek, CA
About Stefan R Jibodh M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEFAN R JIBODH M.D. (NPI 1508875642) is an individual adult reconstructive orthopaedic surgery provider in Walnut Creek, California, licensed in California (A104528) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stefan R Jibodh M.d. 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.
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.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
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 Stefan Jibodh's NPI number?
The NPI number for Stefan Jibodh is 1508875642. It was assigned to this individual provider in the NPPES registry on August 7, 2006.
Where is Stefan Jibodh located?
Stefan Jibodh practices at 1425 S Main St Dept Of Orthopedics, Mob 1st Floor, Walnut Creek, CA 94596. The listed phone number is (925) 295-4130.
What is Stefan Jibodh's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.
Is Stefan Jibodh enrolled in Medicare?
Yes. Stefan Jibodh 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.
When was this NPI record last updated?
The NPPES record for Stefan Jibodh was last updated on December 14, 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.
# Stefan R Jibodh, M.D. · NPI 1508875642
Adult Reconstructive Orthopaedic Surgery physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1508875642 (Entity type: Individual)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery · taxonomy 207XS0114X
- **State license:** A104528 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 S MAIN ST, DEPT OF ORTHOPEDICS, MOB 1ST FLOOR, Walnut Creek, CA 94596-5318
- **Phone:** (925) 295-4130
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Johns Hopkins University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** December 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1508875642) · Data from the CMS NPPES public registry.