Individual provider Active NPI

Yuval Zev Kimbell, PA-C

  • Medical Physician Assistant
  • Durham, NC
National Provider Identifier
1487274528
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-10946 Issued in NC
Practice address
2216 E NC Highway 54
Durham, NC 27713-2208
Phone
(919) 235-1040
NPI assigned
Apr 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10946 NC
Medical Physician Assistant 363AM0700X 0010-10946 NC Primary

Addresses

Primary practice location

2216 E NC Highway 54
Durham, NC 27713-2208

Mailing address

2216 E NC Highway 54
Durham, NC 27713-2208
Phone (919) 235-1040

Other identifiers 1

IdentifierTypeStateIssuer
1487274528MedicaidNC

Other names 1

  • Yuval Kimbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210209000605 NC Practitioner - Physician Assistant 0749695575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300

1260 N Arendell Ave
Zebulon, NC 27597-8730
Phone (919) 235-1965

12701 US 70 Business Hwy W
Clayton, NC 27520-2195
Phone (919) 350-0554

2216 E NC Hwy 54
Durham, NC 27713-2208
Phone (919) 235-1930

237 S Estes Dr
Chapel Hill, NC 27514-7009
Phone (919) 235-1520

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

6800 Glenwood Ave
Raleigh, NC 27612-7133
Phone (919) 235-1939

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-10946NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians, LLC Physician Assistant CurrentSince May 13, 2024 Accepting new patients
Wake Specialty Physicians LLC PastSince Nov 8, 2025 Accepting new patients

Locations

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

7021 NC Highway 751
Durham, NC 27707
Phone (919) 235-0365

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

6800 Glenwood Ave
Raleigh, NC 27612
Phone (919) 235-1939

4530 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 235-1930

938 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 235-1525

2001 S Main St
Wake Forest, NC 27587
Phone (919) 562-3155

1260 N Arendell Ave
Zebulon, NC 27597
Phone (919) 235-1326

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.

Hospital & facility affiliations 2

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": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1487274528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132208",
            "telephone_number": "919-235-1040",
            "fax_number": "919-341-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132208",
            "telephone_number": "919-235-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBELL",
        "first_name": "YUVAL",
        "middle_name": "ZEV",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10946",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-10946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487274528",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUVAL",
            "last_name": "KIMBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.