Active NPI
Kimberlee Brooke Hobizal, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Beaver Falls, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC006197
- Practice address
- 2620 Constitution Blvd Ste 104
Beaver Falls, PA 15010-1278 - Phone
- (412) 830-7837
- Fax
- (412) 909-4168
- NPI assigned
- Jun 29, 2010
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006197 | PA | Primary |
Addresses
Primary practice location
2620 Constitution Blvd Ste 104
Beaver Falls, PA 15010-1278
Mailing address
2620 Constitution Blvd Ste 104
Beaver Falls, PA 15010-1278
Phone (412) 830-7837
Other practice location 1
1030 Beaner Hollow Rd
Beaver, PA 15009-9723
Phone (724) 775-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140813000154 | PA | Practitioner - Podiatry | 9537386669 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2620 Constitution Blvd
Suite 104
Beaver Falls, PA 15010-1278
Phone (412) 830-7837
Hospital & facility affiliations
- Heritage Valley Beaver
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006197 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Foot and Ankle Reconstructive Surgery PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| GPS Cranberry LLC. | Current | Accepting new patients | |
| Premier Foot and Ankle PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
2620 Constitution Blvd
Ste 104
Beaver Falls, PA 15010
Phone (412) 830-7837
51 Dutilh Rd
Ste 100
Cranberry Twp, PA 16066
Phone (412) 683-4504
Interoperability endpoints
- https://api.platform.athenahealth.com/7838/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Beaver Falls, PA
- NPI 1447097977
Foot & Ankle Surgery, PA
-
- Foot & Ankle Surgery Podiatrist
- Beaver Falls, PA
- NPI 1174350805
Foot & Ankle Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaver Falls, PA
- NPI 1306989983
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sewickley, PA
- NPI 1528101458
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1467763003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 CONSTITUTION BLVD STE 104",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150101278",
"telephone_number": "412-830-7837",
"fax_number": "412-909-4168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 CONSTITUTION BLVD STE 104",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150101278",
"telephone_number": "412-830-7837",
"fax_number": "412-909-4168"
}
],
"practiceLocations": [
{
"address_1": "1030 Beaner Hollow Rd",
"address_purpose": "LOCATION",
"city": "Beaver",
"state": "PA",
"postal_code": "150099723",
"country_code": "US",
"telephone_number": "724-775-4242",
"fax_number": "724-775-4960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOBIZAL",
"first_name": "KIMBERLEE",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Falls, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.