Individual provider Active NPI

Brooks David Kimmis, MD, MAY 2018

  • Dermatology Physician
  • Kansas City, MO
National Provider Identifier
1043715659
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD18034 Issued in RI
Practice address
2101 Charlotte St Ste 110
Kansas City, MO 64108-2759
Phone
(816) 404-7810
NPI assigned
Mar 26, 2018
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD18034 RI Primary

Addresses

Primary practice location

2101 Charlotte St Ste 110
Kansas City, MO 64108-2759

Mailing address

2101 Charlotte St Ste 110
Kansas City, MO 64108-2759
Phone (816) 404-7810

Other practice location 1

1672 S County Trl
E Greenwich, RI 02818-5098
Phone (401) 715-2217

Other practice location 2

3901 Rainbow Blvd # MS 2025
Kansas City, KS 66160-2640
Phone (913) 588-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220727000852 RI Practitioner - Dermatology 6901155506 Reassigns benefits to 1 organization
I20220727001733 MA Practitioner - Dermatology 6901155506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Professionals LLCGroup PAC ID 1254653355, 9 clinicians
Dermatology Professionals IncGroup PAC ID 9234283953, 19 clinicians

Practice addresses (Care Compare)

153 E Washington St
North Attleboro, MA 02760-2312
Phone (978) 371-7010

1672 S County TRL
Suite 101
East Greenwich, RI 02818-5099
Phone (401) 885-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.96 of 100Reported as individual
Quality
90.84
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of skin lesions938
Removal or shaving of skin growth1-10
Skin biopsy325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Professionals Inc. Dermatology CurrentSince Sep 6, 2022 Accepting new patients
Dermatology Professionals, LLC Dermatology CurrentSince Sep 6, 2022 Accepting new patients
Coastal Dermatology Inc Dermatology Past Accepting new patients

Locations

153 E Washington St
North Attleboro, MA 02760
Phone (508) 699-7546

1672 S County Trl
East Greenwich, RI 02818
Phone (401) 715-2217

1672 S County Trl
Ste 101
East Greenwich, RI 02818
Phone (401) 885-7546

Interoperability endpoints

  • Direct secure messaging: bkimmis@apderm.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1043715659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST STE 110",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082759",
            "telephone_number": "816-404-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST STE 110",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082759",
            "telephone_number": "816-404-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1672 S County Trl",
            "address_purpose": "LOCATION",
            "city": "E Greenwich",
            "state": "RI",
            "postal_code": "028185098",
            "country_code": "US",
            "telephone_number": "401-715-2217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Rainbow Blvd # MS 2025",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661602640",
            "country_code": "US",
            "telephone_number": "913-588-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMIS",
        "first_name": "BROOKS",
        "middle_name": "DAVID",
        "credential": "MD, MAY 2018",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD18034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.