Individual provider Active NPI

Christopher L Kimmey, MD

  • Family Medicine Physician
  • Rushville, IN
National Provider Identifier
1457513913
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01068890A Issued in IN
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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 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

IdentifierTypeStateIssuer
201014600-INDIV.MedicaidIN
000000845183OtherINANTHEM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000604 IN Practitioner - Family Practice 7911181995 Reassigns benefits to 2 organizations

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
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

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

LicenseStateTypeSpecialty
01068890AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Feb 12, 2018 Accepting new patients
American Current Care P.a. CurrentSince Feb 12, 2018 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. Current Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Sep 9, 2015 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.

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

Sources for this page

Verify at the official NPI Registry.