NPIMap

Individual provider Active NPI

Ibrahim Katibah, MD

  • Nephrology Physician
  • Fresno, CA
National Provider Identifier
1053838987
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A170300 Issued in CA
Practice address
568 E Herndon Ave Ste 201
Fresno, CA 93720-2989
Phone
(559) 558-8671
Fax
(559) 573-7121
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A170300 CA Primary

Addresses

Primary practice location

568 E Herndon Ave Ste 201
Fresno, CA 93720-2989

Mailing address

568 E Herndon Ave Ste 201
Fresno, CA 93720-2989
Phone (559) 558-8671

Other practice location 1

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 443-2682

Other names 1

  • Dr. Ibrahim Katibah Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620000318 CA Practitioner - NephrologyPractitioner - Internal Medicine 7517202690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Nephrology Group IncGroup PAC ID 4688767262, 50 clinicians

Practice addresses (Care Compare)

233 E Caldwell Ave
Visalia, CA 93277-7605
Phone (559) 228-6600

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as group
Quality
43.03
Promoting interoperability
0
Improvement activities
40
Cost
72.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A170300CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nephrology Group, Inc. Nephrology CurrentSince Jul 1, 2022 Accepting new patients
The Nephrology Group, Inc. Clinical Lab CurrentSince Jul 1, 2022 Accepting new patients
Central California Faculty Medical Group, Inc. Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Adventist Health Tulare Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

290 N Wayte Ln
Ste 2300
Fresno, CA 93701
Phone (594) 595-1935

900 N Douty St
#B
Hanford, CA 93230
Phone (559) 325-7775

800 N St
Sanger, CA 93657
Phone (559) 875-5545

1205 Evergreen St
Selma, CA 93662
Phone (559) 896-2342

1122 Rose Ave
Ste 2
Selma, CA 93662

233 E Caldwell Ave
Visalia, CA 93277
Phone (559) 475-0431

Interoperability endpoints

  • Direct secure messaging: ibrahim.katibah.2@9000.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • Direct secure messaging: ikatibah672947@hisp.ehr.sutterhealth.org
  • Direct secure messaging: ikatibah2714987@direct.trinity-health.org
  • Direct secure messaging: ibrahim.katibah.1@17661.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1053838987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202989",
            "telephone_number": "559-558-8671",
            "fax_number": "559-573-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202989",
            "telephone_number": "559-558-8671",
            "fax_number": "559-573-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-443-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATIBAH",
        "first_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A170300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IBRAHIM",
            "last_name": "KATIBAH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.