Kimberly Carhuatanta, DO PHD
Individual provider Active NPI Family Medicine Physician · Lawrenceburg, IN
NPI 1003445958 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1003445958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02007463A (IN)
- Practice address
- 98 Elm St
Lawrenceburg, IN 47025-2048 - Phone
- (812) 496-8775
- Fax
- (812) 537-5710
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
98 Elm St
St Elizabeth Physicians
Lawrenceburg, IN 47025-2048
Phone (812) 537-9100
Hospital & facility affiliations
- St Elizabeth Home Care Services
- St Elizabeth Edgewood
- St Elizabeth Dearborn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240312001709 | IN | Practitioner - Family Practice | 7517388226 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Summit Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
98 Elm St
Lawrenceburg, IN 47025
Phone (812) 496-8775
1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02007463A | IN | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
98 Elm St
Lawrenceburg, IN 47025-2048
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Other practice location 1
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8808
Other providers in Lawrenceburg, IN
- Kevin E Burns
- Lauren Cadle
- Tracey Campagna
- Courtney R Canos
- Richard T Cardosi
- Megan Sue Carnes
- Scott Carpenter
- Thomas Joseph Carrico
- Cei Physicians PSC LLC
- Jacqueline Cendro
All providers in Lawrenceburg, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.