Active NPI
Elizabeth Sibrack, M.D.
- Pediatrics Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 161368
- Practice address
- 1425 S Main St
Walnut Creek, CA 94596 - Phone
- (925) 295-4000
- NPI assigned
- Apr 24, 2015
- Last updated
- Jan 7, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 161368 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 161368 | CA | |
| Hospitalist Physician | 208M00000X | 0101286933 | VA |
Addresses
Primary practice location
1425 S Main St
Walnut Creek, CA 94596
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
1250 E Marshall St
Richmond, VA 23298-5023
Phone (840) 828-2467
Other practice location 2
Unc Med Peds Residency Program
230 MacNider, CB #7593
Chapel Hill, NC 27599-7593
Phone (919) 966-6770
Other practice location 3
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1643 NW 136 Ave
Sunrise, FL 33323-2857
1643 NW 136TH Ave
Sunrise, FL 33323-2857
PO Box
Philadelphia, PA 19178
PO Box
Suite 980503
Richmond, VA 23298
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161368 | CA | MD | Internal Medicine Physician |
| 0101286933 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Multi-Specialty | Current | Accepting new patients |
| Southeastern Intensivist Services PC | Multi-Specialty | Current | Accepting new patients |
Locations
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
1000 E Broad St
Richmond, VA 23219
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Multi-Specialty
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Multi-Specialty, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1538556873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S MAIN ST",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94596",
"telephone_number": "925-295-4000"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "840-828-2467",
"fax_number": "804-628-5847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Unc Med Peds Residency Program",
"address_2": "230 MacNider, CB #7593",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275997593",
"country_code": "US",
"telephone_number": "919-966-6770",
"fax_number": "919-966-8419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191930",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIBRACK",
"first_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "161368",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "161368",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101286933",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1425 South Main Street",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "94596",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.
- 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.