Individual provider Active NPI

Kenneth Sibila, M.D.

  • Family Medicine Physician
  • Towson, MD
National Provider Identifier
1386615185
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D50216 Issued in MD
Practice address
7801 York Rd
Suite 102
Towson, MD 21204-7446
Phone
(410) 769-4920
Fax
(410) 296-4205
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D50216 MD Primary

Addresses

Primary practice location

7801 York Rd
Suite 102
Towson, MD 21204-7446

Mailing address

7801 York Rd
Suite 102
Towson, MD 21204-7446
Phone (410) 769-4920

Other identifiers 1

IdentifierTypeStateIssuer
895L296EOtherMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 20, 2025 through Aug 20, 2027

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7601 Osler Dr
1St Floor
Towson, MD 21204-7582

7801 York Rd
Suite 102
Towson, MD 21204-7435

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Towson Medical Associates, LLC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ksibila149174@direct.umm.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1386615185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 YORK RD",
            "address_2": "SUITE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047446",
            "telephone_number": "410-769-4920",
            "fax_number": "410-296-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD",
            "address_2": "SUITE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047446",
            "telephone_number": "410-769-4920",
            "fax_number": "410-296-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBILA",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D50216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "895L296E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.