Individual provider Active NPI

Kara E. Kimberly, MD

  • Otolaryngology Physician
  • Altoona, PA
National Provider Identifier
1477530756
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD455721 Issued in PA
Practice address
3341 Beale Ave
Altoona, PA 16601-1549
Phone
(814) 944-5357
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
JC Edwards School of Medicine, Marshall University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyrone Hospital 21 clinicians
J C Blair Memorial Hospital 98 clinicians

Practice addresses (Care Compare)

154 Hospital Dr
Tyrone, PA 16686-1829
Phone (814) 684-6379

239 Colonnade Blvd
Suite 2
State College, PA 16803-2668
Phone (582) 220-2310

Hospital & facility affiliations

  • Penn Highlands Tyrone Hospital, Tyrone, PA, CCN 391307
  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013908 PA Practitioner - Otolaryngology 3870638612 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
TRN147990FLMDOtolaryngology Physician
PA55814MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Group, PC Otolaryngology CurrentSince Apr 1, 2021 Accepting new patients
Tyrone Hospital Otolaryngology CurrentSince Sep 1, 2015 Accepting new patients
Tyrone Hospital Current Accepting new patients
J C Blair Memorial Hospital CurrentSince Jan 2, 2023 Accepting new patients
Tyrone Hospital CurrentSince Sep 1, 2015 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jan 2, 2023 Accepting new patients
Dubois Regional Medical Group, PC Otolaryngology CurrentSince Apr 1, 2021 Accepting new patients
River Valley Emergency Physicians, Inc Physician Assistant Past Accepting new patients
Dubois Regional Medical Center Physician Assistant Past Accepting new patients
Pinecroft Medical Center Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

20 Industrial Dr
Dubois, PA 15801
Phone (814) 375-5005

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

239 Colonnade Blvd
Ph Ent
State College, PA 16803

154 Hospital Dr
Ste 3
Tyrone, PA 16686
Phone (814) 684-6347

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Interoperability endpoints

  • Direct secure messaging: kekimberly@1285.direct.myezyaccess.com

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA55814 MD
Otolaryngology Physician 207Y00000X TRN147990 FL
Otolaryngology Physician 207Y00000X MD455721 PA Primary

Addresses

Primary practice location

3341 Beale Ave
Altoona, PA 16601-1549

Mailing address

3341 Beale Ave
Altoona, PA 16601-1549
Phone (814) 944-5357

Other identifiers 1

IdentifierTypeStateIssuer
1030722110001MedicaidPA

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1477530756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 BEALE AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011549",
            "telephone_number": "814-944-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 BEALE AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011549",
            "telephone_number": "814-944-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLY",
        "first_name": "KARA",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "PA55814",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "TRN147990",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD455721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030722110001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.