SARA GEBREMARIAM KIBROM MD
NPI 1821485103
Pediatrics - Pediatric Nephrology in Palo Alto, CA

Q: What is Sara Kibrom's NPI number?

The NPI number for Sara Kibrom is 1821485103. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Q: What is Sara Kibrom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Sara Kibrom was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PALO ALTO, CA 94304(650) 723-7903 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2024, Mar 22, 2023, Sep 10, 2021 and 1 more (4 updates tracked since 2018).

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About Sara Gebremariam Kibrom Md NPPES

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

SARA GEBREMARIAM KIBROM MD (NPI 1821485103) is an individual pediatric nephrology provider in Palo Alto, California, licensed in California (A154750) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valhalla, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1821485103

Entity TypeIndividualFemale

Primary Taxonomy2080P0210X

Provider Legal NameSARA GEBREMARIAM KIBROMCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 723-7903

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 23, 2015

Last NPPES UpdateApril 26, 20244 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1821485103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in CA · A154750

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatricsTaxonomy 208000000X · License A154750 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-7000

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

Sara Gebremariam Kibrom Md 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.

PECOS PAC ID6507266517

PECOS Enrollment IDI20210614001348

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.

STANFORD HOSPITAL AND CLINICS

Pediatrics (Pediatric Cardiology)