Active NPI
Kimberly Lauren Imbesi, MD
- Emergency Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD182084
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-8211
- Fax
- (503) 346-8021
- NPI assigned
- May 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD455972 | PA | |
| Emergency Medicine Physician | 207P00000X | MD182084 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8211
Other practice location 1
3400 Spruce St
Philadelphia, PA 19104-4206
Phone (215) 662-6305
Other practice location 2
2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 338-7515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Duke University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 W Baltimore Pike
West Grove, PA 19390-9459
Phone (610) 869-1000
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD182084 | OR | MD | Emergency Medicine Physician |
| MD455972 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Christiana Care Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- West Grove, PA
- NPI 1902690852
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba Christiana Care Emergency Physicians
- Emergency Medicine Physician
- Newark, DE
- NPI 1639956451
-
dba Christiana Care Emergency Physicians MD
- Emergency Medicine Physician
- Elkton, MD
- NPI 1871375899
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba CCHS-Radiology
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1952335556
Emergency Medicine
-
dba Lower Columbia Hospice
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ChristianaCare Hospital, West Grove Campus
- General Acute Care Hospital
- West Grove, PA
- NPI 1699515304
-
dba ChristianaCare Hospital, Aston
- General Acute Care Hospital
- Aston, PA
- NPI 1902788771
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1003252065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8211",
"fax_number": "503-494-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8211",
"fax_number": "503-346-8021"
}
],
"practiceLocations": [
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044206",
"country_code": "US",
"telephone_number": "215-662-6305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2111 Exchange St",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "OR",
"postal_code": "971033329",
"country_code": "US",
"telephone_number": "503-338-7515",
"fax_number": "503-338-7515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMBESI",
"first_name": "KIMBERLY",
"middle_name": "LAUREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-17",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD455972",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD182084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.