Kimberly Karol Elmer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

200045 Issued in NY

Practice address

532 Moe Rd
Clifton Park
Clifton Park, NY 12065-3822

Phone

(518) 383-2425

Fax

(518) 383-3255

NPI assigned

Jun 13, 2005

Reactivated

Aug 4, 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 NY

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

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.elmer.p1@direct.cwpw.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Boston Children'S Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment NPD
• Boston Childrens Health Physicians LLP

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD
• Four Seasons Pediatrics, LLC

  • Pediatrics Physician
  • Clifton Park, NY
  • NPI 1306353479
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1346244704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MOE RD",
            "address_2": "CLIFTON PARK",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653822",
            "telephone_number": "518-383-2425",
            "fax_number": "518-383-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MOE RD",
            "address_2": "CLIFTON PARK",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653822",
            "telephone_number": "518-383-2425",
            "fax_number": "518-383-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMER",
        "first_name": "KIMBERLY",
        "middle_name": "KAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "deactivation_date": "2005-06-23",
        "reactivation_date": "2005-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "200045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347562",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Alexander Edmond, MD
• Sana Tahir Effendi, DO
• Anika Ejaz
• Gale H Elfner, RN
• Bradley Jesse Elliott, DC
• Emerging Vision
• Zack Steven Emery, DO
• Empire Vision Center Inc
• Erica L Buhler LCSW PC
• Elizabeth Mary Esker, COTA/L

• Pediatrics Physician in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.