JENNY VICTORIA WARIBOKO (MD) – Internal Medicine Physician, NPI 1174776496
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
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Provider Addresses for JENNY VICTORIA WARIBOKO (MD)
5130, Salem Avenue, Regina Heights, Trotwood, Montgomery County, Ohio, 45426, United States
TROTWOOD, OH 454262042
Phone: (937) 529-4443
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,163.
Total Amount is formed as General ($1,163) + Research ($0) + Ownership ($0) = $1,163.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Tactile Systems Technology Inc ($281).
Total Amount
$1,163
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tactile Systems Technology Inc | $281 |
| Amgen Inc. | $225 |
| Teva Pharmaceuticals USA, Inc. | $127 |
| AngioDynamics, Inc. | $125 |
| Janssen Pharmaceuticals, Inc | $111 |
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: 2012-01-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120121000051 | I | Internal Medicine | OH | TBD |
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.
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 45426)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OH | 81002 | Urinalysis, manual test | 17 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH |
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