Individual provider Active NPI

Jason P Kimball, M.D.

  • Internal Medicine Physician
  • Lawrence, KS
National Provider Identifier
1326076548
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-28700 Issued in KS
Practice address
325 Maine St
Lawrence, KS 66044-1360
Phone
(785) 505-6100
Fax
(785) 505-2874
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 41025 OK
Internal Medicine Physician 207R00000X 04-28700 KS Primary

Addresses

Primary practice location

325 Maine St
Lawrence, KS 66044-1360

Mailing address

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-6100

Other practice location 1

1102 W MacArthur St
Shawnee, OK 74804-1743
Phone (405) 395-5225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.kimball@direct.lmh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20080528000340 KS Practitioner - HospitalistPractitioner - Internal Medicine 6709864135 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-3350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-28700KSMDInternal Medicine Physician
41025OKMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital Current Accepting new patients
Lincoln County Hospital CurrentSince Nov 13, 2018 Accepting new patients
Lawrence Physicians LLC CurrentSince Jan 1, 2015 Accepting new patients
Lawrence Physicians LLC Hospitalist CurrentSince Jan 1, 2015 Accepting new patients
The Inpatient Group, LLC Hospitalist CurrentSince May 7, 2023 Accepting new patients
Midwest Medicine Associates LLC Internal Medicine Past Accepting new patients

Locations

3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1326076548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441360",
            "telephone_number": "785-505-6100",
            "fax_number": "785-505-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441360",
            "telephone_number": "785-505-6100",
            "fax_number": "785-505-2874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W MacArthur St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748041743",
            "country_code": "US",
            "telephone_number": "405-395-5225",
            "fax_number": "405-878-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "41025",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-28700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.kimball@direct.lmh.org",
            "affiliation": "N",
            "address_1": "325 Maine St",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.