Individual provider Active NPI

Xylona Bibal, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1699112169
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A134695 Issued in CA
Practice address
1 Shrader St Ste 640
San Francisco, CA 94117-1018
Phone
(415) 752-0100
Fax
(415) 752-7103
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A134695 CA Primary

Addresses

Primary practice location

1 Shrader St Ste 640
San Francisco, CA 94117-1018

Mailing address

1 Shrader St Ste 640
San Francisco, CA 94117-1018
Phone (415) 752-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150925001499 CA Practitioner - Internal Medicine 5698083590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Doctors Medical Group, IncGroup PAC ID 5991756777, 8 clinicians
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

1 Shrader St
Suite 640
San Francisco, CA 94117-1018
Phone (415) 752-0100

2235 Hayes St
FL 5
San Francisco, CA 94117-1012
Phone (415) 750-5500

Hospital & facility affiliations

  • UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134695CAMDClinical Social Worker
A134695CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Doctors Medical Group Inc Internal Medicine CurrentSince Sep 3, 2015 Accepting new patients
UCSF Health Community Hospitals CurrentSince Nov 1, 2015 Accepting new patients
Dignity Health CurrentSince Nov 1, 2015 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2235 Hayes St
Fl 5
San Francisco, CA 94117
Phone (415) 750-5500

1 Shrader St
Ste 640
San Francisco, CA 94117
Phone (415) 422-0000

Organizations & group practices 4

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 2

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1699112169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 640",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171018",
            "telephone_number": "415-752-0100",
            "fax_number": "415-752-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 640",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171018",
            "telephone_number": "415-752-0100",
            "fax_number": "415-752-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBAL",
        "first_name": "XYLONA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.