Kedesha Desiree Sibliss, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD465751 Issued in PA

Practice address

1001 S George St FL 4
York, PA 17403-3676

Phone

(717) 851-2417

Fax

(717) 851-3712

NPI assigned

May 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

Howard University College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan York Hospital Hospital, York, PA, CCN 390046
• Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksibliss162063@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Reading Hospital

  • Radiation Oncology Physician
  • West Reading, PA
  • NPI 1992387518
  Medicare reassignment NPD
• Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment NPD
• Reading Hospital

  • Rheumatology Physician
  • West Reading, PA
  • NPI 1447051909
  NPD
• Reading Hospital

  • Community/Retail Pharmacy
  • Limerick, PA
  • NPI 1487468914
  NPD
• Tower Health Medical Group

  • Pediatrics Physician
  • Wyomissing, PA
  • NPI 1033450424
  NPD
• Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Psychiatry Physician
  • York, PA
  • NPI 1740249325
  NPD
• Wellspan Medical Group

  • Family Medicine Physician
  • York, PA
  • NPI 1598862716
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Gettysburg Hospital

  • Ambulatory Surgical Clinic/Center
  • Gettysburg, PA
  • NPI 1184882011

  Hospital

  Care Compare affiliation
• The Gettysburg Hospital

  • General Acute Care Hospital
  • Gettysburg, PA
  • NPI 1265466957
  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1609112036

  Hospital

  Care Compare affiliation
• York Hospital

  • Family Medicine Physician
  • York, PA
  • NPI 1881617132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1477999639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST FL 4",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-851-2417",
            "fax_number": "717-851-3712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S 7th Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "19611",
            "country_code": "US",
            "telephone_number": "484-628-4630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBLISS",
        "first_name": "KEDESHA",
        "middle_name": "DESIREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD465751",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT203651",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD465751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Shultz, CRNA
• Isabella Concetta Shuster
• Michelle Shya, LCSW
• Mychelle Shymansky
• Erin Lynn Sibal, MA, LPC, BSL
• Michael J Sicuranza, M.D.
• Lyle Amos Siddoway, MD
• Nadeera Sidique
• Anastasia Nichole Sidor, PHARMD
• Bryan Marshall Siegelman, D.D.S.

• Infectious Disease Physician in York, PA
• Providers in York, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.