BRANDON THOMAS KIBBY (DO) – Pediatric Anesthesiology Physician, NPI 1144271149

BRANDON THOMAS KIBBY (DO) is a healthcare provider. based in Indianapolis, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 02001980 (IN). The NPI Number for BRANDON THOMAS KIBBY (DO) is 1144271149

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON THOMAS KIBBY (DO)
NPI
1144271149
Phone
(317) 274-0273
Address
1120 SOUTH DR
Enumeration Date
14 May 2006
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9376414000
Graduation Year
1997 (29 years ago)
PAC ID
1052316999
Group Practice PAC ID
5496916124
Professional Enrollment ID
I20200526002301
Address ID
OH454041873DA1XXXXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,447 ANESTHESIOLOGY in IN

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Provider Addresses for BRANDON THOMAS KIBBY (DO)

  • 1120, South Drive, Indianapolis, Marion, Indiana, 46202, United States

    FESLER HALL, RM. 204

    INDIANAPOLIS, IN 462025135

    Phone: (317) 274-0273

    Fax: (317) 567-2191

    Type: Mailing

  • 702, Barnhill Drive, Indianapolis, Marion, Indiana, 46202, United States

    INDIANAPOLIS, IN 462025128

    Phone: (317) 274-0273

    Fax: (317) 567-2191

    Type: Location

  • 3333 W Tech Rd

    Miamisburg, OH 453420955

    Phone: (937) 641-3880

    Fax: (937) 641-6159

    Type: Location

  • PO BOX 933432

    CLEVELAND, OH 441930039

    Phone: (937) 641-3000

    Type: Mailing

  • 1 CHILDRENS PLZ

    DAYTON, OH 454041873

    Phone: (937) 641-3477

    Fax: (937) 641-5410

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-05-26

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
I20200526002301IAnesthesiologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46202)

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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: 5496916124View full group profile
NameSpecialtyState
Critical Care (Intensivists)OH
Emergency Medicine, Pediatric MedicineNY
G A S T R O E N T E R O L O G YOH
-OH
Pediatric Medicine, General SurgeryOH
A N E S T H E S I O L O G YTN
Pediatric MedicineOH
Critical Care (Intensivists), Pediatric MedicineOH
H E M A T O L O G Y/ O N C O L O G YOH
Pediatric MedicineOH

Reviews

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Frequently asked questions

How is BRANDON THOMAS KIBBY (DO) identified in CMS data?
CMS-hosted NPPES data lists BRANDON THOMAS KIBBY (DO) with NPI 1144271149.
Is BRANDON THOMAS KIBBY (DO) still practicing?
BRANDON THOMAS KIBBY (DO) is currently listed as active in the public NPI registry.
What taxonomy line describes BRANDON THOMAS KIBBY (DO)?
For research purposes, treat BRANDON THOMAS KIBBY (DO) as Pediatric Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does BRANDON THOMAS KIBBY (DO) serve?
BRANDON THOMAS KIBBY (DO)'s listing highlights Indianapolis, Indiana; more addresses can appear in NPPES.
Is the information about BRANDON THOMAS KIBBY (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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