Deborah N Kimmel, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD045481E Issued in PA

Practice address

850 S 5TH Street
Good Shepherd Physician Group 5TH Floor Billing
Allentown, PA 18103-3295

Phone

(610) 778-9297

Fax

(610) 778-9270

NPI assigned

Dec 12, 2005

Sex

Female

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 PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1093790198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 5TH STREET",
            "address_2": "GOOD SHEPHERD PHYSICIAN GROUP 5TH FLOOR BILLING",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033295",
            "telephone_number": "610-778-9297",
            "fax_number": "610-778-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 5TH STREET",
            "address_2": "GOOD SHEPHERD PHYSICIAN GROUP 5TH FLOOR BILLING",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033295",
            "telephone_number": "610-778-9297",
            "fax_number": "610-778-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "DEBORAH",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD045481E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012181900003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joon B Kim, MD
• Jungsoo Kim, MD
• Susan Kim, MD
• Wi Jin Kim, MD
• Katelin Kimler, PHARMD
• Pamela Sue Kimmel, OD
• Gail A. Kimmerle, CRNA
• Michelle Kinbrook, M.D.
• Kirsten Elizabeth Kinch
• Karen King

• Physical Medicine & Rehabilitation Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.

Verify at the official NPI Registry.