NPIMap

Individual provider Active NPI

John Peter Klim, DO

  • Pain Medicine (Anesthesiology) Physician
  • Noblesville, IN
National Provider Identifier
1508834672
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
02002790A Issued in IN
Practice address
18077 River Rd Ste 200
Noblesville, IN 46062-8334
Phone
(317) 776-7028
Fax
(317) 773-7910
NPI assigned
Mar 14, 2006
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 02002790A IN
Addiction Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LA0401X 02002790A IN
Pain Medicine (Anesthesiology) Physician 207LP2900X 02002790A IN Primary

Addresses

Primary practice location

18077 River Rd Ste 200
Noblesville, IN 46062-8334

Mailing address

18077 River Rd Ste 200
Noblesville, IN 46062-8334
Phone (317) 776-7028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000470 IN Practitioner - AnesthesiologyPractitioner - Pain Management 7113976721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kokomo Pain Management, LLCGroup PAC ID 2668660085, 3 clinicians

Practice addresses (Care Compare)

18077 River Rd
Suite 200
Noblesville, IN 46062-8334
Phone (317) 776-7028

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.39 of 100Reported as individual
Quality
86.51
Promoting interoperability
97
Improvement activities
40
Cost
77.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02002790AINMDAddiction Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kokomo Pain Management, LLC Single Specialty CurrentSince Oct 1, 2010 Accepting new patients
Major Hospital Single Specialty Past Accepting new patients

Locations

18077 River Rd
Ste 200
Noblesville, IN 46062
Phone (317) 770-2146

Interoperability endpoints

  • Direct secure messaging: pklim34749@ecommunitydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1508834672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18077 RIVER RD STE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628334",
            "telephone_number": "317-776-7028",
            "fax_number": "317-773-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 RIVER RD STE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628334",
            "telephone_number": "317-776-7028",
            "fax_number": "317-773-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIM",
        "first_name": "JOHN",
        "middle_name": "PETER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "02002790A",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "IN",
            "license": "02002790A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "02002790A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.