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KIEBORZ PLLC
NPI 1962735449
Family Medicine in Gilbert, AZ

Active since September 15, 2009
3303 S LINDSAY RD STE 123, GILBERT, AZ 85297(480) 821-9339(480) 821-9555 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kieborz Pllc NPPES

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

KIEBORZ PLLC (NPI 1962735449) is a healthcare organization registered as a family medicine in Gilbert, Arizona and active in the NPI registry since September 2009. The organization lists Timothy J Kieborz, Owner, as its authorized official.

NPPES Registry Identity

NPI1962735449
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKIEBORZ PLLC
Location Address3303 S LINDSAY RD STE 123Gilbert, AZ 85297-2100
Mailing Address6722 N 10th AvePhoenix, AZ 85013-1008 · (602) 251-8714 · Fax (602) 251-8899
Phone(480) 821-9339
Fax(480) 821-9555
Organization SubpartNo
Authorized OfficialTimothy J KieborzOwner · (480) 821-9555
Enumeration DateSeptember 15, 2009
Last NPPES UpdateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1962735449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 3836
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3303 S LINDSAY RD STE 123, Gilbert, AZ 85297
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Other Identifiers 1

Medicaid461660AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kieborz Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kieborz PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Kieborz, DO
Emergency Medicine
NPI 1629010202
3303 S LINDSAY RD STE 123
Gilbert, AZ 85297
(480) 821-9339
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kieborz PLLC's NPI number?

The NPI number for Kieborz PLLC is 1962735449. It was assigned to this organization in the NPPES registry on September 15, 2009.

Where is Kieborz PLLC located?

Kieborz PLLC is located at 3303 S Lindsay Rd Ste 123, Gilbert, AZ 85297. The listed phone number is (480) 821-9339.

What is Kieborz PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kieborz PLLC enrolled in Medicare?

Yes. Kieborz PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kieborz PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Kieborz PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kieborz PLLC was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.