ELECTRON KEBEBEW (MD) – Surgery Physician, NPI 1972567246

ELECTRON KEBEBEW (MD) is a healthcare provider. based in San francisco, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A62307 (CA). The NPI Number for ELECTRON KEBEBEW (MD) is 1972567246

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
ELECTRON KEBEBEW (MD)
NPI
1972567246
Phone
(415) 476-4029
Address
1635 DIVISADERO STREET, SUITE 625, BOX 1821
Enumeration Date
13 April 2006
Last Update Date
27 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507234000
Graduation Year
1995 (31 years ago)
PAC ID
8527326958
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20171213000296
Address ID
CA943052200ST300XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

Provider Addresses for ELECTRON KEBEBEW (MD)

  • 1635 DIVISADERO STREET, SUITE 625, BOX 1821

    SAN FRANCISCO, CA 941430001

    Phone: (415) 476-4029

    Fax: (415) 476-4150

    Type: Mailing

  • 300 PASTEUR DR

    PALO ALTO, CA 943042203

    Phone: (650) 723-4000

    Fax: (415) 476-4150

    Type: Mailing

  • UCSF Mount Zion Campus, 1600, Divisadero Street, Western Addition, San Francisco, California, 94115, United States

    SAN FRANCISCO, CA 941430001

    Phone: (415) 353-7789

    Fax: (415) 353-7781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Ethicon US, LLC ($45).

Total Amount

$45

General + Research + Ownership

Payments

1

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$45
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171213000296IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes2323$0
60500Removal or exploration of parathyroid glands2222$0
99214Established patient office or other outpatient visit, 30-39 minutes2116$0
99215Established patient office or other outpatient visit, 40-54 minutes1717$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 94143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

Does ELECTRON KEBEBEW (MD) have a public NPI I can cite?
Public records show ELECTRON KEBEBEW (MD) under NPI 1972567246.
Should I treat ELECTRON KEBEBEW (MD) as an active provider?
Patients and plans typically see ELECTRON KEBEBEW (MD) as active in the national extract.
What does the directory say ELECTRON KEBEBEW (MD) does?
Insurance directories may phrase it differently, but here ELECTRON KEBEBEW (MD) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ELECTRON KEBEBEW (MD)?
ELECTRON KEBEBEW (MD) shows a connection to San Francisco, California in registry-derived data.
Who maintains ELECTRON KEBEBEW (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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