Kim M Almodovar MD PLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

053408 Issued in MI

Legal business name

KIM M ALMODOVAR MD PLC

Practice address

1460 Walton Blvd
Suite 209
Rochester Hills, MI 48309-1768

Phone

(248) 656-4225

Fax

(248) 656-4250

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kim M Almodovar, M.D.NPI 1831160316

Title

Owner

Phone

(248) 656-4225

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9589/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Almodovar, MD

  • Gastroenterology Physician
  • Rochester Hills, MI
  • NPI 1831160316
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1548399652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 209",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "248-656-4225",
            "fax_number": "248-656-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 209",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "248-656-4225",
            "fax_number": "248-656-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM M ALMODOVAR MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "ALMODOVAR",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-656-4225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "053408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4177912",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0M96440",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "0M96440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Alamgir Khan, M.D.
• Khurrum T Pirzada, D.O. P.C.
• Deanne Elizabeth Kiba, DO, FAARFM
• Kidz 1St, P.L.L.C. (Kidz 1St Pediatrics)
• Marie Killius, NP-C
• Achin Kim, M.D.
• Amy Kim, LPC
• Julia Kimball, C-PNP
• Nada Kinaya, FNP
• Neil Gregory King, PT

• Gastroenterology Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.