Individual provider Active NPI

Javier Bibb, M.D.

  • Nephrology Physician
  • Washington Terrace, UT
National Provider Identifier
1871513358
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14199803-1205 Issued in UT
Practice address
5285 S 400 E Ste B
Washington Terrace, UT 84405
Phone
(801) 779-3500
Fax
(801) 779-3508
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 14199803-1205 UT Primary
Nephrology Physician 207RN0300X 35802 AZ

Addresses

Primary practice location

5285 S 400 E Ste B
Washington Terrace, UT 84405

Mailing address

5285 S 400 E Ste B
Washington Terrace, UT 84405-7194
Phone (801) 779-3500

Other practice location 1

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (602) 320-9162

Other practice location 2

2132 N Robins Dr Ste 110
Layton, UT 84041-7059
Phone (801) 779-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ND, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061106000221 AZ Practitioner - Nephrology 6800893892 Reassigns benefits to 2 organizations
I20230526001830 ND Practitioner - Nephrology 6800893892 Reassigns benefits to 1 organization
I20250220001046 UT Practitioner - NephrologyPractitioner - Internal Medicine 6800893892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Utah LLCGroup PAC ID 2769468065, 31 clinicians

Practice addresses (Care Compare)

10999 E Onyx CT
Scottsdale, AZ 85259-4867
Phone (602) 320-9162

2132 N 1700
Suite 110
Layton, UT 84041-7059
Phone (801) 779-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14199803-1205UTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Sanford Medical Center Fargo CurrentSince May 8, 2023 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Nephrology Associates of Utah LLC Nephrology CurrentSince Feb 3, 2025 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Sep 18, 2006 Accepting new patients
Sanford Medical Center Fargo Family Medicine CurrentSince May 8, 2023 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Sep 18, 2006 Accepting new patients
Neph Advisement Services Nephrology CurrentSince May 1, 2023 Accepting new patients
Kidney & Hypertension Institute of Northern Utah LLC Nephrology Past Accepting new patients
Kidney & Hypertension Institute of Utah PLLC Nephrology Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients
Arizona Oncology Associates PC Internal Medicine Past Accepting new patients

Locations (25 of 74)

10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 899-2199

1525 N Gilbert Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 497-1127

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306
Phone (602) 395-3354

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

300 W White Mountain Blvd
Ste D
Lakeside, AZ 85929
Phone (928) 367-2642

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1106 N Beeline Hwy
Payson, AZ 85541
Phone (928) 474-5286

13090 N 94th Dr
Ste 210
Peoria, AZ 85381
Phone (623) 972-6700

Interoperability endpoints

  • Direct secure messaging: jbibb72204@direct.acumenmd.com
  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14360/brand/20/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1871513358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 S 400 E STE B",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844057194",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 S 400 E STE B",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024707",
            "country_code": "US",
            "telephone_number": "602-320-9162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2132 N Robins Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840417059",
            "country_code": "US",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIBB",
        "first_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "14199803-1205",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "35802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Terrace, UT

Sources for this page

Verify at the official NPI Registry.