Sean M. Kibria, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3769 Issued in FL

Practice address

5475 Golden Gate Parkway
Ste 4
Naples, FL 34116-7529

Phone

(239) 238-8925

Fax

(239) 353-7001

NPI assigned

Nov 23, 2013

Last updated

Apr 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Physician Services IncGroup PAC ID 4688685654, 39 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sean.kibria.1@29651.direct.athenahealth.com

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.

• Mobile Physician Services Inc.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1003002759

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Sole Podiatry Center PA

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1053774596
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1385164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1114357456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PARKWAY",
            "address_2": "STE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-238-8925",
            "fax_number": "239-353-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PARKWAY",
            "address_2": "STE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-238-8925",
            "fax_number": "239-353-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6804 Cecelia Drive",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346534935",
            "country_code": "US",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBRIA",
        "first_name": "SEAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-23",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3769",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanel Healthcare Inc.
• Amanda Rose Khater, PHARM D, RPH
• Renu Khode, MD
• Diane Elizabeth Kibiloski, PA-C
• Eshan Malik Kibria, DO
• Brandy Michelle Kidd, M.S.W., L.C.S.W.
• Kidmotion Brenda Chilstrom Pediatric Occupational Therapist LLC
• Kidmotion: Brenda Chilstrom, Pediatric Occupational Therapy, LLC
• Kidney Institute of Naples, LLC
• Kids First Pediatric Center

• Podiatrist in Naples, FL
• Providers in Naples, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.