Individual provider Active NPI

Kimberly Lauren Imbesi, MD

  • Emergency Medicine Physician
  • Portland, OR
National Provider Identifier
1003252065
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD182084 Issued in OR
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

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220221001513 DE Practitioner - Emergency Medicine 6800193301 Reassigns benefits to 2 organizations
I20240110000455 MD Practitioner - Emergency Medicine 6800193301 Reassigns benefits to 1 organization
I20250915001385 PA Practitioner - Emergency Medicine 6800193301 Reassigns benefits to 1 organization

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
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

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

LicenseStateTypeSpecialty
MD182084ORMDEmergency Medicine Physician
MD455972PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 25, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 5, 2025 Accepting new patients
Christiana Care Health Services Inc Emergency Medicine CurrentSince Nov 25, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 5, 2025 Accepting new patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2024 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.