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Joseph R Tibay , RD

Dietitian, Registered β€’ Chiloquin, OR

Active NPI 1326310335 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

330 Chiloquin Blvd
Chiloquin, OR 976246747

Call 5418821487 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

330 Chiloquin Blvd

Chiloquin, OR 976246747

Telephone 5418821487
Fax 5417833237
Organization at the Same NPPES Address or Phone
Klamath Tribal Health & Family Services Facility NPI 1629078274

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Klamath Tribal Health And Family Services. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2010

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Joseph Tibay has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Chiloquin and Oregon

2 active clinicians are listed under Dietitian, Registered with a practice address in Chiloquin, OR (927 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES OR 966795

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES None 966795

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500735399 (OR)
Other Identifier Cdr Registration
966795

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20250917004184

Enrollment State Jurisdiction

OR

PECOS Control ID

6305005125

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Klamath Tribal Health And Family Services

330 S Chiloquin Blvd, Chiloquin, OR 976246747

Phone: 5418821487

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Andrew Bader , PA-C

Physician Assistant - Medical

NPI 1932437589

Physician Assistant (Certified)

Dr. Thomas Barratt , DDS

Dentist - General Practice

NPI 1346266541

Doctor of Dental Surgery

NPI 1902087349

Doctor of Dental Surgery

Crystal Novelozo , FNP

Nurse Practitioner - Family

NPI 1922694173

Family Nurse Practitioner

Dr. Jamie Rich , MD

Internal Medicine

NPI 1295728624

Doctor of Medicine (M.D.)

Dr. Benjamin Stuart , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1114448529

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 12, 2022

Registered at 330 CHILOQUIN BLVD, CHILOQUIN, OR 976246747 (Tel: 5418821487)

πŸ“
Updated Business Mailing Address December 12, 2022

Registered at 3949 SOUTH 6TH STREET, KLAMATH FALLS, OR 97603 (Tel: 5418821487)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2022

Dietitian, Registered (license number reported to NPPES: OR 966795)

βœ…
NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2012

Registered at HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503 (Tel: 9286747166)

πŸ“
Business Mailing Address (Initial Record) February 07, 2012

Registered at P.O. DRAWER PH, CHINLE, AZ 86503 (Tel: 9286747166)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2012

Recorded as JOSEPH TIBAY, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Dietitian, Registered (license number reported to NPPES: None 966795)

🟒
Initial NPI Registration & Enumeration February 07, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326310335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2012
Last Update: December 12, 2022
Sole Proprietor: No

Mailing Address

3949 South 6th Street

Klamath Falls, OR 97603

Phone: 5418821487

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.