Active NPI
Gabriel Kibrit, MD
- Internal Medicine Physician
- Buffalo Grove, IL
National Provider Identifier
1477531937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036057419
- Practice address
- 1450 Busch Pkwy # 100
Buffalo Grove, IL 60089-4541 - Phone
- (847) 459-7860
- Fax
- (847) 459-4228
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036057419 | IL | Primary |
Addresses
Primary practice location
1450 Busch Pkwy # 100
Buffalo Grove, IL 60089-4541
Mailing address
1450 Busch Pkwy Ste 100
Buffalo Grove, IL 60089-4541
Phone (847) 459-7860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36057419 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Healthcare | Past | Accepting new patients | |
| Rand Imaging Center | Past | Accepting new patients |
Interoperability endpoints
- https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1477531937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 BUSCH PKWY STE 100",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894541",
"telephone_number": "847-459-7860",
"fax_number": "847-459-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 BUSCH PKWY # 100",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894541",
"telephone_number": "847-459-7860",
"fax_number": "847-459-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBRIT",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036057419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36057419",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.