NPIMap

Individual provider Active NPI

Joseph Kenneth Kimmell, D.O.

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1053467977
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013160 Issued in PA
Practice address
8150 Perry Hwy Ste 101
Pittsburgh, PA 15237-5232
Phone
(412) 364-2664
Fax
(412) 364-8037
NPI assigned
Jan 25, 2007
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS013160 PA Primary

Addresses

Primary practice location

8150 Perry Hwy Ste 101
Pittsburgh, PA 15237-5232

Mailing address

8150 Perry Hwy Ste 201
Pittsburgh, PA 15237-5200
Phone (412) 369-9550

Other identifiers 1

IdentifierTypeStateIssuer
101962940-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000075 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8921105065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

8150 Perry Hwy
Suite 101
Pittsburgh, PA 15237-5232
Phone (412) 364-2664

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. Family Medicine CurrentSince May 9, 2007 Accepting new patients
Genesis Medical Associates, Inc. CurrentSince May 9, 2007 Accepting new patients

Locations

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

8135 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 364-2664

8150 Perry Hwy
Ste 101
Pittsburgh, PA 15237
Phone (412) 364-2664

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

Organizations & group practices 2

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 15

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

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1053467977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375200",
            "telephone_number": "412-369-9550",
            "fax_number": "412-369-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375232",
            "telephone_number": "412-364-2664",
            "fax_number": "412-364-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMELL",
        "first_name": "JOSEPH",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101962940-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.