Active NPI
Kimberly A Kerr, MD
- Surgery Physician
- Danville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01060457A
- Practice address
- 112 Hospital LN
Suite 100
Danville, IN 46122-1977 - Phone
- (317) 745-3740
- Fax
- (317) 745-3816
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01060457A | IN | Primary |
Addresses
Primary practice location
112 Hospital LN
Suite 100
Danville, IN 46122-1977
Mailing address
1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200514590 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkerr228438@direct-PRD.stelizabeth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Arkansas College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Main St
Danville, IN 46122-1948
112 Hospital LN
Danville, IN 46122-2600
5492 N Ronald Reagan Pkwy
Suite 130
Brownsburg, IN 46112-5618
Phone (317) 456-9050
8244 E US Hwy 36
Avon, IN 46123-9688
8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500
8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519
Hospital & facility affiliations
- Hendricks Regional Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060457A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Past | Accepting new patients | |
| Hendricks County Hospital | Past | Accepting new patients | |
| Hendricks County Hospital | Past | Accepting new patients | |
| Center for Surgical Sciences & Trauma, Inc | Surgery | Past | Accepting new patients |
Locations
8244 E US Highway 36
Ste 1210
Avon, IN 46123
Phone (317) 272-8272
8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510
8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500
112 Hospital Ln
Ste 100
Danville, IN 46122
Phone (317) 745-3740
1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570
Interoperability endpoints
- kkerr228438@direct-prd.stelizabeth.com
- https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
Organizations & group practices 7
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.
-
- General Practice Physician
- Danville, IN
- NPI 1497536163
-
- Pediatrics Physician
- Brownsburg, IN
- NPI 1508758210
-
- Gastroenterology Physician
- Danville, IN
- NPI 1538365051
-
- Surgery Physician
- Indianapolis, IN
- NPI 1225063167
-
- Urgent Care Clinic/Center
- Avon, IN
- NPI 1063411551
-
- Family Medicine Physician
- Plainfield, IN
- NPI 1104927557
-
- Family Medicine Physician
- Avon, IN
- NPI 1598993784
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1366465619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SOUTHFIELD DR",
"address_2": "SUITE 1370",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461684498",
"telephone_number": "317-837-5571",
"fax_number": "317-837-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HOSPITAL LN",
"address_2": "SUITE 100",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461221977",
"telephone_number": "317-745-3740",
"fax_number": "317-745-3816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01060457A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200514590",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkerr228438@direct-PRD.stelizabeth.com",
"affiliation": "N",
"address_1": "112 Hospital Ln",
"address_2": "Suite 100",
"city": "Danville",
"state": "IN",
"country_code": "US",
"postal_code": "461221977",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Danville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.