Active NPI
Ann L Kimmel, M.D.
- Obstetrics & Gynecology Physician
- Hamilton, MT
National Provider Identifier
1073546222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 43983
- Practice address
- 1200 Westwood Dr
Hamilton, MT 59840-2345 - Phone
- (406) 375-4777
- Fax
- (406) 375-4778
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 43983 | MT | Primary |
Addresses
Primary practice location
1200 Westwood Dr
Hamilton, MT 59840-2345
Mailing address
1224 W Main St
Hamilton, MT 59840-2338
Phone (406) 375-4823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 711615 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ANNKIMMELMDMHCERNERDIRECTCOM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43983 | MT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Family Medicine | Past | Accepting new patients |
Locations
1200 Westwood Dr
Ste G
Hamilton, MT 59840
Phone (406) 375-4777
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
1150 Westwood Dr
Ste G
Hamilton, MT 59840
Phone (406) 375-4777
Interoperability endpoints
- annkimmel@mdmh.cernerdirect.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.
-
- Obstetrics & Gynecology Physician
- Hamilton, MT
- NPI 1194812420
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1073546222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 W MAIN ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402338",
"telephone_number": "406-375-4823",
"fax_number": "406-375-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WESTWOOD DR",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402345",
"telephone_number": "406-375-4777",
"fax_number": "406-375-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEL",
"first_name": "ANN",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "43983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "711615",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ANNKIMMELMDMHCERNERDIRECTCOM",
"affiliation": "N",
"address_1": "1200 Westwood Dr",
"city": "Hamilton",
"state": "MT",
"country_code": "US",
"postal_code": "598402345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.