JOHN B KABURIA PMHNP-BC
NPI 1518533306
Nurse Practitioner - Psychiatric/Mental Health in Dover, DE
About John B Kaburia Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN B KABURIA PMHNP-BC (NPI 1518533306) is an individual psychiatric/mental health provider in Dover, Delaware, licensed in Delaware (L8-0010223) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
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
John B Kaburia Pmhnp-bc 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
4Medicare enrollment records show John Kaburia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, DE 19709
- Reassigned Medicare billing, Delaware enrollment
- 2 clinicians in this Medicare group
Seaford, DE 19973
- Reassigned Medicare billing, Delaware enrollment
- 8 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 105 clinicians in this Medicare group
Chester, PA 19013
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 John Kaburia's NPI number?
The NPI number for John Kaburia is 1518533306. It was assigned to this individual provider in the NPPES registry on June 2, 2021.
Where is John Kaburia located?
John Kaburia practices at 642 South Queen Street Ste 102, Dover, DE 19904. The listed phone number is (800) 818-8680.
What is John Kaburia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is John Kaburia enrolled in Medicare?
Yes. John Kaburia 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 John Kaburia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kaburia reassigns Medicare benefits to 4 organizations: Koftown Medical Center LLC (Middletown, DE), Alpha Care Medical, LLC (Seaford, DE), Mid-Atlantic Behavioral Health, LLC (Newark, DE) and Prospect Health Access Network, Inc. (Chester, PA). 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 John Kaburia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Kaburia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list John Kaburia 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.
When was this NPI record last updated?
The NPPES record for John Kaburia was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# John B Kaburia, PMHNP-BC · NPI 1518533306
Psychiatric/Mental Health physician in Dover, Delaware. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1518533306 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** L8-0010223 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 642 SOUTH QUEEN STREET, STE 102, Dover, DE 19904-3506
- **Phone:** (800) 818-8680 · **Fax:** (800) 818-8680
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Koftown Medical Center LLC (NPI 1982355319, Middletown, DE); Alpha Care Medical, LLC (NPI 1417409905, Seaford, DE); Mid-Atlantic Behavioral Health, LLC (NPI 1871719872, Newark, DE); Prospect Health Access Network, Inc. (NPI 1013364520, Chester, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1518533306) · Data from the CMS NPPES public registry.