Oleg Logvinovich Kibukevich, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

6565 N Charles St Ste 203
Towson, MD 21204-5805

Phone

(443) 849-3760

NPI assigned

Mar 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: okibukevich64943@gbmcdirect.org

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1407559610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 203",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045805",
            "telephone_number": "443-849-3760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213095",
            "country_code": "US",
            "telephone_number": "585-922-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBUKEVICH",
        "first_name": "OLEG",
        "middle_name": "LOGVINOVICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdallah Khatatbeh
• Francis T. Khoo, M.D.
• Amit Khosla, M.D.
• Asali-Lanaya Kiama
• Linda A Kibbe
• Kids Club ABA MD LLC
• Kids Dental Space, LLC
• Kidscare Home Health of Maryland, LLC
• Kidscare Home Health of Maryland, LLC
• Kidscare Home Health of Maryland, LLC

• Student in an Organized Health Care Education/Training Program in Towson, MD
• Providers in Towson, MD by specialty
• Student in an Organized Health Care Education/Training Program in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.

Verify at the official NPI Registry.