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KIBWEY RODERICK ANDWELE PETERKIN MD
NPI 1932827086
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since August 16, 2022PECOS Enrolled
20 YORK SREET, NEW HAVEN, CT 06510(203) 737-8867 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kibwey Roderick Andwele Peterkin Md NPPES

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

KIBWEY RODERICK ANDWELE PETERKIN MD (NPI 1932827086) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932827086
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIBWEY RODERICK ANDWELE PETERKINCredential: MD
Location Address20 YORK SREETNew Haven, CT 06510-3139
Mailing Address20 York StNew Haven, CT 06510-3220
Phone(203) 737-8867
Sole ProprietorNo
Enumeration DateAugust 16, 2022
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1932827086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20 YORK SREET, New Haven, CT 06510
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kibwey Roderick Andwele Peterkin Md 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.

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 Kibwey Peterkin's NPI number?

The NPI number for Kibwey Peterkin is 1932827086. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Kibwey Peterkin located?

Kibwey Peterkin practices at 20 York Sreet, New Haven, CT 06510. The listed phone number is (203) 737-8867.

What is Kibwey Peterkin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kibwey Peterkin enrolled in Medicare?

Yes. Kibwey Peterkin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kibwey Peterkin was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.