Organization Active NPI

Jibrini MD Associates PLLC

  • Internal Medicine Physician
  • Florence, KY
National Provider Identifier
1861647992
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JIBRINI MD ASSOCIATES PLLC
Practice address
7210 Turfway Rd
Ste C
Florence, KY 41042-5117
Phone
(859) 459-2424
Fax
(859) 459-2494
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Mhamad B Jibrini, MD
Title
Owner
Phone
(859) 459-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7210 Turfway Rd
Ste C
Florence, KY 41042-5117

Mailing address

PO Box 636267
Cincinnati, OH 45263-0001
Phone (859) 459-5454

Other identifiers 3

IdentifierTypeStateIssuer
2915019MedicaidOH
DO6031OtherRR MEDICARE
200926640AMedicaidIN

National Provider Directory

National Provider Directory

Locations

103 Landmark Dr
Ste 200
Bellevue, KY 41073
Phone (859) 838-1281

3876 Turkeyfoot Rd
Erlanger, KY 41018
Phone (502) 525-6511

7210 Turfway Rd
Ste C
Florence, KY 41042
Phone (859) 459-2424

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1861647992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636267",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "859-459-5454",
            "fax_number": "859-459-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 TURFWAY RD",
            "address_2": "STE C",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425117",
            "telephone_number": "859-459-2424",
            "fax_number": "859-459-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIBRINI MD ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "JIBRINI",
        "authorized_official_first_name": "MHAMAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-459-2424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2915019",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DO6031",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200926640A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.