Individual provider Active NPI

Kira Ann Zimmerly, M.D

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1063639193
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
089557 Issued in OH
Practice address
9070 Winton Rd
Cincinnati, OH 45231-3828
Phone
(513) 522-7600
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 089557 OH Primary

Addresses

Primary practice location

9070 Winton Rd
Cincinnati, OH 45231-3828

Mailing address

4600 Wesley Ave
Ste. N
Cincinnati, OH 45212-2298
Phone (513) 246-7000

Other identifiers 1

IdentifierTypeStateIssuer
2781459MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081002000120 OH Practitioner - Pediatric Medicine 5294803375 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
089557OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Pediatrics CurrentSince Dec 6, 2015 Accepting new patients
Trihealth G, LLC CurrentSince Dec 6, 2015 Accepting new patients
The Good Samaritan Hospital of Cincinnati, Ohio Past Accepting new patients
Trihealth G LLC Pediatrics Past Accepting new patients

Locations

740 W Galbraith Rd
Ste 200
Cincinnati, OH 45231

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

4600 Wesley Ave
Ste N
Cincinnati, OH 45212
Phone (513) 246-7800

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: kzimmerly385@direct.trihealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1063639193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WESLEY AVE",
            "address_2": "STE. N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122298",
            "telephone_number": "513-246-7000",
            "fax_number": "513-841-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313828",
            "telephone_number": "513-522-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERLY",
        "first_name": "KIRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "089557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2781459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.