Individual provider Active NPI

Kenton Shawn Hilbish, M.D.

  • Pediatrics Physician
  • New Castle, IN
National Provider Identifier
1205061389
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01071106 Issued in IN
Practice address
152 Wittenbraker Ave
New Castle, IN 47362-5000
Phone
(765) 599-3100
Fax
(765) 518-5365
NPI assigned
May 19, 2009
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01071106 IN Primary

Addresses

Primary practice location

152 Wittenbraker Ave
New Castle, IN 47362-5000

Mailing address

PO Box 485
New Castle, IN 47362-0485
Phone (765) 529-0780

Other identifiers 1

IdentifierTypeStateIssuer
201069150MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khilbish@hcmh.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000368 IN Practitioner - Pediatric MedicinePractitioner - Hospitalist 5496910721 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071106INMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage House of Richmond Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1205061389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-529-0780",
            "fax_number": "765-521-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WITTENBRAKER AVE",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473625000",
            "telephone_number": "765-599-3100",
            "fax_number": "765-518-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBISH",
        "first_name": "KENTON",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01071106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201069150",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khilbish@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "152 Wittenbraker Ave",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473625000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.