Kimberly May Eickhorst, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PENDING Issued in NJ

Practice address

170 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1408

Phone

(203) 792-4151

Fax

(203) 792-4155

NPI assigned

Apr 26, 2007

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

Medicare fee-for-service enrollment

Enrolled in CT

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

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Western Connecticut, PCGroup PAC ID 6507804671, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.4 of 100Reported as group

Quality

97.76

Improvement activities

40

Cost

84.32

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keickhorst@directaddress.net

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.

• Dermatology Associates of Western Connecticut, PC

  • Procedural Dermatology Physician
  • Newtown, CT
  • NPI 1306851050
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1225258643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701408",
            "telephone_number": "203-792-4151",
            "fax_number": "203-792-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701408",
            "telephone_number": "203-792-4151",
            "fax_number": "203-792-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKHORST",
        "first_name": "KIMBERLY",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimelynn Drake, PT, DPT
• John A Dudley, DMD
• Eaglefeatherpsychotherapy, LLC.
• Jessica Edwards, PA-C
• Ryland Branch Edwards III, DVM
• Elevation Performance and Therapy, LLC
• Elidah, Inc.
• Ellen T. Lacko,MSW,LCSW,LLC
• Eugene Cayer Enterprises
• Donald Thomas Evans, MD

• Dermatology Physician in Newtown, CT
• Providers in Newtown, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.