Nizar D Kibar, MD
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Anthony, KS
NPI 1124096300 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1124096300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 04-29452 (KS)
- Practice address
- 485 N KS Hwy 2
Anthony, KS 67003-2526 - Phone
- (206) 914-1200
- Fax
- (206) 914-1252
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital District No 6 of Harper County Kansas
Healthcore Clinic Inc
Practice addresses (Care Compare)
212 N 5TH Ave
Anthony Community Care Ctr
Anthony, KS 67003-2106
Phone (620) 842-5187
2707 E 21St St N
Wichita, KS 67214-2249
Phone (316) 691-0249
485 N KS Hwy 2
Anthony, KS 67003-2526
Hospital & facility affiliations
- Angels Care Home Health
- Interim Healthcare of Wichita
- Specialized Home Care
- Pratt Regional Medical Center HHA
- Country Care Hospice, Inc
- Hospital District #6 Patterson Health Center
- Ascension Via Christi Hospitals Wichita, Inc.
- Wesley Medical Center
- Hospital District #6 Patterson Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050920000751 | KS | Practitioner - Internal Medicine | 0042244089 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0429452 | KS | MD | Emergency Medicine Physician |
| 04-29452 | KS | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcore Clinic Inc | Current |
Accepting new patients | |
| Hospital District No 6 of Harper County Kansas | Current | Accepting new patients | |
| Kansas Inpatient Services, LLC | Past | Accepting new patients | |
| Attica Hospital District #1 | Past | Accepting new patients |
Locations
485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200
2707 E 21st St N
Wichita, KS 67214
Phone (316) 691-0249
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0429452 | KS | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 04-29452 | KS | Yes |
Addresses
Primary practice location
485 N KS Hwy 2
Anthony, KS 67003-2526
Mailing address
PO Box 819
Wichita, KS 67201-0819
Phone (620) 723-2127
Other practice location 1
401 E 1st St Ste 102
Wichita, KS 67202-2501
Phone (316) 558-3991
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100449120A | Medicaid | KS |
Other providers in Anthony, KS
- Irwin-Potter Drug-Medical-Lab
- Irwin-Potter Pharmacy LLC
- Irwin-Potter Pharmacy LLC
- Rachel Ann Jefferis
- Anna Maria Jennings
- Madison Jane Koster
- Ethan Myles Leavitt
- Daniel Marchant
- Dan William Miller, Psy.D.
- Heidi Moore
All providers in Anthony, KS · Geriatric Medicine (Internal Medicine) Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.