Active NPI
Rima Jibaly, MD BS
- Pediatric Gastroenterology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 76074
- Practice address
- 2525 E Roosevelt St
Phoenix, AZ 85008-4948 - Phone
- (602) 344-1015
- NPI assigned
- Aug 16, 2006
- Last updated
- May 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301069514 | MI | |
| Pediatrics Physician | 208000000X | 4301069514 | MI | |
| Pediatric Gastroenterology Physician | 2080P0206X | 4301069514 | MI | |
| Pediatric Gastroenterology Physician | 2080P0206X | 76074 | AZ | Primary |
Addresses
Primary practice location
2525 E Roosevelt St
Phoenix, AZ 85008-4948
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other practice location 1
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 746-7500
Other practice location 2
1123 Villa Linde Ct
Flint, MI 48532-3410
Phone (810) 733-7221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Saginaw Cooperative Hospitals, Inc | Current | Accepting new patients | |
| Saginaw Cooperative Hospital Inc | Current | Accepting new patients | |
| Saginaw Cooperative Hospitals, Inc | Pediatrics | Current | Accepting new patients |
| Maricopa County Special Health Care District | Past | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800
Interoperability endpoints
- rimajibaly@memh.allscriptsdirect.net
- rjibaly1133419@direct.hfhs.org
- rjibaly284306@direct.valleywisehealth.org
Organizations & group practices 8
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Cmu Medical Education Partners
- Internal Medicine Physician
- Saginaw, MI
- NPI 1346344991
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1093948275
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Hospitalist Physician
- Saginaw, MI
- NPI 1548877434
-
dba Cmu Medical Education Partners
- Pediatrics Physician
- Saginaw, MI
- NPI 1821378688
-
dba Valleywise Health
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1295154045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1356454284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000",
"fax_number": "602-470-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084948",
"telephone_number": "602-344-1015"
}
],
"practiceLocations": [
{
"address_1": "1000 Houghton Ave",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486025303",
"country_code": "US",
"telephone_number": "989-746-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1123 Villa Linde Ct",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485323410",
"country_code": "US",
"telephone_number": "810-733-7221",
"fax_number": "810-733-7280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIBALY",
"first_name": "RIMA",
"credential": "MD BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301069514",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301069514",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MI",
"license": "4301069514",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AZ",
"license": "76074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.