Individual provider Active NPI

Kamal C Kabakibou, M.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1356427850
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
42621 Issued in GA
Practice address
3193 Howell Mill Rd NW
Ste. #317
Atlanta, GA 30327-2119
Phone
(404) 603-9090
Fax
(404) 603-9634
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 42621 GA Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW
Ste. #317
Atlanta, GA 30327-2119

Mailing address

3193 Howell Mill Rd NW
Ste. #317
Atlanta, GA 30327-2119
Phone (404) 603-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20120418000569 GA Practitioner - Pain ManagementPractitioner - Internal Medicine 2163591926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Internal Medicine
Education
Baylor College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kamal C Kabakibou MD PCGroup PAC ID 6305032921, 2 clinicians

Practice addresses (Care Compare)

3193 Howell Mill Rd NW
Suite 317
Atlanta, GA 30327-2100
Phone (404) 603-9090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
76.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42621GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kamal C. Kabakibou, MD, PC Specialist CurrentSince Dec 26, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients

Locations

3193 Howell Mill Rd NW
Ste 317
Atlanta, GA 30327
Phone (404) 603-9090

3193 Howell Mill Rd NW
Atlanta, GA 30327
Phone (404) 351-4000

3193 Howell Mill Rd NW
Ste 326
Atlanta, GA 30327
Phone (404) 355-4522

3193 Howell Mill Rd NW
#326
Atlanta, GA 30327

3193 Howell Mill Rd NW
Ste 311
Atlanta, GA 30327
Phone (404) 603-9090

3193 Howell Mill Rd NW
#311
Atlanta, GA 30327
Phone (404) 603-9090

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJIAA/Endpoint/FDJIAA

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 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1356427850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "STE. #317",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-603-9090",
            "fax_number": "404-603-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "STE. #317",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-603-9090",
            "fax_number": "404-603-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAKIBOU",
        "first_name": "KAMAL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "42621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.