NPIMap

Individual provider Active NPI

Nizar D Kibar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Anthony, KS
National Provider Identifier
1124096300
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
04-29452 Issued in 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
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0429452 KS
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 04-29452 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050920000751 KS Practitioner - Internal Medicine 0042244089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcore Clinic IncGroup PAC ID 9739092131, 18 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0429452KSMDEmergency Medicine Physician
04-29452KSMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcore Clinic Inc CurrentSince Jan 1, 2025 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

Organizations & group practices 4

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 12

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1124096300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010819",
            "telephone_number": "620-723-2127",
            "fax_number": "620-723-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 N KS HWY 2",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032526",
            "telephone_number": "206-914-1200",
            "fax_number": "206-914-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E 1st St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672022501",
            "country_code": "US",
            "telephone_number": "316-558-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBAR",
        "first_name": "NIZAR",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0429452",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "04-29452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthony, KS

Sources for this page

Verify at the official NPI Registry.