Active NPI
Tara Ashley Kimbrough, MD
- Neurocritical Care Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 036149917
- Practice address
- 1653 W Congress Pkwy
Chicago, IL 60612-3833 - Phone
- (312) 942-5000
- NPI assigned
- Jun 10, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | 036149917 | IL | Primary |
| Neurocritical Care Physician | 2084A2900X | C1-0029186 | DE | |
| Neurocritical Care Physician | 2084A2900X | 95884 | SC | |
| Neurology Physician | 2084N0400X | C1-0029186 | DE |
Addresses
Primary practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Mailing address
1133 N Dearborn St Apt 3002
Chicago, IL 60610-2792
Other practice location 1
2 Medical Park Rd Ste 300
Columbia, SC 29203-6839
Phone (803) 434-8800
Other practice location 2
20 York St
Yale-New Haven Hospital
New Haven, CT 06510-3220
Phone (203) 688-8300
Other practice location 3
200 Hygeia Dr Ste 1420
Newark, DE 19713-2049
Phone (302) 623-3017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, SC, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Tulane University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
2 Medical Park Rd
Suite 300
Columbia, SC 29203-6839
Phone (803) 545-5800
200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-3017
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036149917 | IL | MD | Neurocritical Care Physician |
| 95884 | SC | MD | Neurocritical Care Physician |
| C1-0029186 | DE | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Neurology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Neurology | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Palmetto Health - University of South Carolina Medical Group | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Neurology | Current | Accepting new patients |
| Ochsner Clinic Foundation | Past | Accepting new patients |
Locations
200 Hygeia Dr
Ste 1420
Newark, DE 19713
Phone (302) 623-3017
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
1514 Jefferson Hwy
New Orleans, LA 70121
2 Medical Park Rd
Ste 300
Columbia, SC 29203
Phone (803) 434-8800
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
Interoperability endpoints
- tkimbrough155124@direct.ochsner.org
Organizations & group practices 10
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.
-
- Neurology Physician
- Newark, DE
- NPI 1457593949
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Neurology Physician
- Newark, DE
- NPI 1104896596
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Family Medicine Physician
- Sumter, SC
- NPI 1295211894
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1255712782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 N DEARBORN ST APT 3002",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-942-5000"
}
],
"practiceLocations": [
{
"address_1": "2 Medical Park Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036839",
"country_code": "US",
"telephone_number": "803-434-8800",
"fax_number": "803-434-8802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York St",
"address_2": "Yale-New Haven Hospital",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hygeia Dr Ste 1420",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197132049",
"country_code": "US",
"telephone_number": "302-623-3017",
"fax_number": "302-266-9962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMBROUGH",
"first_name": "TARA",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "IL",
"license": "036149917",
"primary": true
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "DE",
"license": "C1-0029186",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "SC",
"license": "95884",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DE",
"license": "C1-0029186",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.