Andrew Russo Kibert, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

285045 Issued in NY

Practice address

426 W 14TH St FL 3
New York, NY 10014-1002

Phone

(646) 568-6636

NPI assigned

May 4, 2015

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 NY

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

State licenses

Practice roles

Locations

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.

• Doctor K Private Medicine PLLC

  • General Practice Physician
  • New York, NY
  • NPI 1598637738
  NPD Authorized official

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1770960270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W 14TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141002",
            "telephone_number": "646-568-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W 14TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141002",
            "telephone_number": "646-568-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 8th Ave Ste 711",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117176",
            "country_code": "US",
            "telephone_number": "917-765-8579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBERT",
        "first_name": "ANDREW",
        "middle_name": "RUSSO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "285045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Kiani
• Nazanin Kianinejad, MD
• Nazanin Kiapour, MD
• Patti Kibatullin, LA.C, MSAC
• Emily Tow Kiberd, DC
• Brian Kibler
• Harper Kibler, MD
• Susan Kice, MS, RD, CDN
• Jason Lee Kick, LMSW
• Olivia Grace Kick

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.