NPIMap

Individual provider Active NPI

Joseph M. Kimball, DO

  • Family Medicine Physician
  • Winterset, IA
National Provider Identifier
1447362991
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3389 Issued in IA
Practice address
300 W Hutchings St
Winterset, IA 50273-2104
Phone
(515) 462-2950
Fax
(515) 462-4371
NPI assigned
Aug 31, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3389 IA Primary

Addresses

Primary practice location

300 W Hutchings St
Winterset, IA 50273-2104

Mailing address

300 W Hutchings St
Winterset, IA 50273-2104
Phone (515) 462-2950

Other identifiers 2

IdentifierTypeStateIssuer
34910OtherIDBCBS
1265231MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkimball@madisonhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000993 IA Practitioner - Family Practice 3779613153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison County Memorial HospitalGroup PAC ID 6002727179, shared by 5 NPIs, 42 clinicians

Practice addresses (Care Compare)

300 W Hutchings St
Winterset, IA 50273-2104
Phone (515) 462-2373

300 W Hutchings St
Winterset, IA 50273-2109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3389IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Memorial Hospital CurrentSince Aug 18, 2003 Accepting new patients
Madison County Memorial Hospital CurrentSince Aug 18, 2003 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients

Locations

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
  • Direct secure messaging: jkimball@madisonhealth.cernerdirect.com
  • Direct secure messaging: jkimball@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1447362991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HUTCHINGS ST",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502732104",
            "telephone_number": "515-462-2950",
            "fax_number": "515-462-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HUTCHINGS ST",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502732104",
            "telephone_number": "515-462-2950",
            "fax_number": "515-462-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34910",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265231",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkimball@madisonhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Madison County Health Care System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "300 W Hutchings St",
            "city": "Winterset",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502732104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winterset, IA

Sources for this page

Verify at the official NPI Registry.