Kristopher J. Kimball, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

45968 Issued in TN

Practice address

1934 Alcoa Hwy
Ste 478
Knoxville, TN 37920-1524

Phone

(865) 305-5622

Fax

(865) 305-4580

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Gynecological Oncology

Education

Vanderbilt University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

University of TennesseeGroup PAC ID 3072421213, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score

96.48 of 100Reported as apm

Quality

86.23

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University Health System, Inc

  dba UT Internal Medicine Pellissippi

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1790738763
  Medicare reassignment Care Compare group NPD
• University of Tennessee

  dba UT Internal Medicine & Ob/Gyn Center

  • Multi-Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1295751386
  Medicare reassignment Care Compare group NPD
• University Health System Inc

  dba University Thoracic Surgeons

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
  • NPI 1306609748
  NPD
• University Health System, Inc

  dba UT GYN Oncology

  • Surgical Oncology Physician
  • Knoxville, TN
  • NPI 1194958926
  NPD
• University of Tennessee

  dba Univ. of TN Health Science Center College of Nursing

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1174221337
  NPD
• Knoxville Neurology Specialists, PLLC

  • Neurology Physician
  • Knoxville, TN
  • NPI 1720003338
  NPD (past)

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

• University Health System, Inc.

  dba University of Tennessee Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1073721635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440459",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440459",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 ALCOA HWY",
            "address_2": "STE 478",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201524",
            "telephone_number": "865-305-5622",
            "fax_number": "865-305-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "KRISTOPHER",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "45968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518855",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stella Kim, DDS
• Tomoko Kim, DSCPT
• Cathy Kimball, N.P.
• Jessica Brush Kimball
• Jimmy Clarke Kimball, MD
• Gaige Tycean Kimbell
• Erin Groh Kimble, PA-C
• James R. Kimble, M.D.
• Joshua J Kimrey, D.D.S.
• Troy F. Kimsey, M.D.

• Gynecologic Oncology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Gynecologic Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.