Robert Monroe Kimmel, M.D., FACS

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD048645L Issued in PA

Practice address

575 E Norwegian St
Pottsville, PA 17901-3711

Phone

(570) 622-2900

Fax

(570) 622-7787

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Temple University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
• Geisinger St. Luke's Hospital Hospital, Orwigsburg, PA, CCN 390332
• Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

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.

• Robert M. Kimmel, MD, Facs, PC

  • Specialist
  • Pottsville, PA
  • NPI 1609969278
  Medicare reassignment Authorized official
• Keystone Surgery Center, LTD

  • Ambulatory Surgical Clinic/Center
  • Pottsville, PA
  • NPI 1679544290
  NPD Authorized official

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

• GSL Hospital

  • General Acute Care Hospital
  • Orwigsburg, PA
  • NPI 1265096069
  Care Compare affiliation
• Lehigh Valley Hospital - Schuylkill

  dba Lehigh Valley Hospital Schuylkill S Jackson Street

  • Rural Acute Care Hospital
  • Pottsville, PA
  • NPI 1235138405
  Care Compare affiliation
• Lehigh Valley Hospital Hazleton

  dba Hazleton General Hospital

  • General Acute Care Hospital
  • Hazleton, PA
  • NPI 1548322720
  Care Compare affiliation
• Schuylkill Medical Center - East Norweigan Street

  • General Acute Care Hospital
  • Pottsville, PA
  • NPI 1427050376
  Care Compare affiliation

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1205808631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013711",
            "telephone_number": "570-622-2900",
            "fax_number": "570-622-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013711",
            "telephone_number": "570-622-2900",
            "fax_number": "570-622-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "ROBERT",
        "middle_name": "MONROE",
        "name_prefix": "Dr.",
        "credential": "M.D., FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD048645L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahnoor Aitzaz Khan, MD
• Ayman Mohsen Khanafer
• Abdelmohsen Kholoussy, MD
• Kidspeace National Center, Inc
• Caitlin Kimmel
• Kenneth K Kintzel, PT
• Andrew Matthew Knepp, PA-C
• Keandra Alea Koons, BS, RDN, LDN
• Nathan R Koscuk, PA-C
• Christine Kostecky, BSN, RN

• Plastic and Reconstructive Surgery Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.