Active NPI
Ronald Wayne Kimball, MD
- Ophthalmology Physician
- Philadelphia, PA
National Provider Identifier
1407825482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD015251E
- Practice address
- 7701 Lindbergh Blvd
Ste 713
Philadelphia, PA 19153 - Phone
- (215) 365-1113
- Fax
- (215) 365-1114
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD015251E | PA | Primary |
| Ophthalmology Physician | 207W00000X | MA33892 | NJ |
Addresses
Primary practice location
7701 Lindbergh Blvd
Ste 713
Philadelphia, PA 19153
Mailing address
1 Wingate Court
Flourtown, PA 19031
Phone (215) 233-4639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006528790001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA33892 | NJ | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407825482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WINGATE COURT",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "19031",
"telephone_number": "215-233-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 LINDBERGH BLVD",
"address_2": "STE 713",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19153",
"telephone_number": "215-365-1113",
"fax_number": "215-365-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBALL",
"first_name": "RONALD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD015251E",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "MA33892",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006528790001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.