1. Home
  2. Directory
  3. California
  4. San Jose
  5. Nurse Practitioner
  6. NPI Profile

JUDITH KIBUH NP
NPI 1811727712
Nurse Practitioner - Primary Care in San Jose, CA

Active since August 05, 2024PECOS Enrolled
6128 CAMINO VERDE DR STE B, SAN JOSE, CA 95119(669) 200-3996 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judith Kibuh Np NPPES

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

JUDITH KIBUH NP (NPI 1811727712) is an individual primary care provider in San Jose, California, licensed in California (95030563) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811727712
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJUDITH KIBUHCredential: NP
Location Address6128 CAMINO VERDE DR STE BSan Jose, CA 95119-1432
Mailing Address28 N 4th St Unit 2411San Jose, CA 95112-6178 · (408) 614-9504
Phone(669) 200-3996
Sole ProprietorNo
Enumeration DateAugust 5, 2024
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1811727712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95030563
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95030563 (CA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95030563 (CA)
6128 CAMINO VERDE DR STE B, San Jose, CA 95119
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1393 Blossom Hill Rd Ste 290San Jose, CA 95123-1654 · Phone (408) 461-9125
Location 228 N 4th St Unit 2411San Jose, CA 95112-6178 · Phone (408) 614-9504

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Kibuh Np 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.

Areas of Expertise CMS Part B claims

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
34 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Judith Kibuh's NPI number?

The NPI number for Judith Kibuh is 1811727712. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Judith Kibuh located?

Judith Kibuh practices at 6128 Camino Verde Dr Ste B, San Jose, CA 95119. The listed phone number is (669) 200-3996.

What is Judith Kibuh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Judith Kibuh enrolled in Medicare?

Yes. Judith Kibuh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Kibuh was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.