Active NPI
Christopher L Kimmey, MD
- Family Medicine Physician
- Rushville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01068890A
- Practice address
- 509 Conrad Harcourt Way
Rushville, IN 46173-1165 - Phone
- (765) 932-3699
- Fax
- (765) 932-4164
- NPI assigned
- Jun 26, 2008
- Last updated
- Dec 26, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01068890A | IN | Primary |
Addresses
Primary practice location
509 Conrad Harcourt Way
Rushville, IN 46173-1165
Mailing address
240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201014600-INDIV. | Medicaid | IN | |
| 000000845183 | Other | IN | ANTHEM PIN |
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
- Family Practice
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5940 Decatur Blvd
Indianapolis, IN 46241-9579
Phone (317) 856-2945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01068890A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Indiana University Health Urgent Care Centers, LLC. | Current | Accepting new patients | |
| Indiana University Health Urgent Care Centers, LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031
996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888
1311 N Shadeland Ave
Ste Ej
Indianapolis, IN 46219
Phone (317) 352-0933
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551
5940 Decatur Blvd
Indianapolis, IN 46241
Phone (317) 856-2945
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 5
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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1013194455
IN
-
dba IU Health Urgent Care LLC
- Urgent Care Clinic/Center
- Greenwood, IN
- NPI 1750763819
-
dba IU Health Urgent Care Centers, LLC
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1972273654
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1457513913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 N TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473043988",
"telephone_number": "765-288-1928",
"fax_number": "765-741-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 CONRAD HARCOURT WAY",
"city": "RUSHVILLE",
"state": "IN",
"postal_code": "461731165",
"telephone_number": "765-932-3699",
"fax_number": "765-932-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEY",
"first_name": "CHRISTOPHER",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01068890A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201014600-INDIV.",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000845183",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rushville, IN
- Johnson Memorial Hospital (The Waters of Rushville Skilled Nursing Facility)
- Kimberly Dawn Justus, MA.,MHC
- Abdulrazak Kedo, MD
- Clara Kemple
- Jessica Kieninger, O.D.
- Kroger Limited Partnership I (Kroger Pharmacy)
- Christine Marie Laker, MS, RD, LDN
- Savannah Lambert
- Pamela Laughlin, FNP-C
- Jonathan Lesar, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.