BRIAN IBABAO (MD) – Anesthesiology Physician, NPI 1114488418

BRIAN IBABAO (MD) is a healthcare provider. based in Ridgewood, New Jersey. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 25MA11741700 (NJ). The NPI Number for BRIAN IBABAO (MD) is 1114488418

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN IBABAO (MD)
NPI
1114488418
Phone
(201) 847-9320
Address
223 N Van Dien Ave
Enumeration Date
28 March 2019
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
2018479403
Graduation Year
2019 (7 years ago)
PAC ID
7911364153
Group Practice PAC ID
6608861794
Professional Enrollment ID
I20230605000487
Address ID
NJ074502726RI223XXAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,668 ANESTHESIOLOGY in NJ

Provider Addresses for BRIAN IBABAO (MD)

  • 223 N Van Dien Ave

    Ridgewood, NJ 074502726

    Phone: (201) 847-9320

    Type: Location

  • 500 W MAIN ST STE 16

    WYCKOFF, NJ 074811406

    Phone: (201) 847-9320

    Fax: (201) 847-0059

    Type: Mailing

  • Montefiore Medical Center West Campus Moses Division Hospital, 111, East 210th Street, The Bronx, Bronx County, New York, 10467, United States

    BRONX, NY 104672401

    Phone:

    Type: Mailing

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: 2023-06-05

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
I20230605000487IAnesthesiologyNJTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
00811Anesthesia for other procedure on large bowel using an endoscope1515$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 07450)

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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: 6608861794View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YAL
-NJ
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YNY
-NJ
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNJ

Reviews

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Frequently asked questions

What NPI should I save for BRIAN IBABAO (MD)?
Save NPI 1114488418 if you need a stable reference for BRIAN IBABAO (MD).
Is BRIAN IBABAO (MD) currently active in the NPI registry?
CMS-published data lists BRIAN IBABAO (MD) as an active registrant.
What does BRIAN IBABAO (MD) treat or focus on?
Patients typically see BRIAN IBABAO (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRIAN IBABAO (MD)?
The page summarizes Ridgewood, New Jersey for BRIAN IBABAO (MD); expand the address list for detail.
Is BRIAN IBABAO (MD) a real provider?
This page reflects official NPPES data for NPI 1114488418. Always confirm identity and privileges with the practice and licensing boards.

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