Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDREW RUSSO KIBERT M.D.
NPI 1770960270
General Practice in New York, NY

Q: What is Andrew Kibert's NPI number?

The NPI number for Andrew Kibert is 1770960270. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Q: What is Andrew Kibert's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Kibert was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.

Active since May 04, 2015PECOS Enrolled

426 W 14TH ST FL 3, NEW YORK, NY 10014(646) 568-6636 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Andrew Russo Kibert M.d. NPPES

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

DR. ANDREW RUSSO KIBERT M.D. (NPI 1770960270) is an individual general practice provider in New York, New York, licensed in New York (285045) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1770960270

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. ANDREW RUSSO KIBERTCredential: M.D.

Location Address426 W 14TH ST FL 3New York, NY 10014-1002

Mailing Address426 W 14th St Fl 3New York, NY 10014-1002 · (646) 568-6636

Phone(646) 568-6636

Sole ProprietorNo

Enumeration DateMay 4, 2015

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1770960270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 285045

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

426 W 14TH ST FL 3, New York, NY 10014

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Secondary Practice Location 1

Location 180 8th Ave Ste 711New York, NY 10011-7176 · Phone (917) 765-8579

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Russo Kibert M.d. 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOCTOR K PRIVATE MEDICINE PLLC

General Practice

426 W 14TH ST FL 3
NEW YORK, NY 10014

New York County (646) 568-6636

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 Andrew Kibert's NPI number?

The NPI number for Andrew Kibert is 1770960270. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Andrew Kibert located?

Andrew Kibert practices at 426 W 14th St Fl 3, New York, NY 10014. The listed phone number is (646) 568-6636.

What is Andrew Kibert's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Andrew Kibert enrolled in Medicare?

Yes. Andrew Kibert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Kibert was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.