Matthew D. Kimball, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD.31741 Issued in AL

Practice address

315 W Hickory St
Sylacauga, AL 35150-2913

Phone

(256) 401-4605

NPI assigned

May 15, 2008

Last updated

Jun 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Anesthesiology

Education

Louisiana State University School of Medicine in Shreveport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Sylacauga Health Care AuthorityGroup PAC ID 5294710398, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

58.1

Promoting interoperability

96

Improvement activities

40

Cost

72

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• MK Pain Services

  • Pain Medicine (Anesthesiology) Physician
  • Sylacauga, AL
  • NPI 1699470328
  Medicare reassignment NPD Authorized official
• The Sylacauga Health Care Authority

  dba dba Coosa Valley Medical Center

  • Family Medicine Physician
  • Sylacauga, AL
  • NPI 1124235320
  Medicare reassignment Care Compare group NPD
• Blue Lake Health Alabama, LLC

  • Anesthesiology Physician
  • Florence, AL
  • NPI 1376266726
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Alabama-TCS Inc

  • Anesthesiology Physician
  • Brentwood, TN
  • NPI 1750989877

  AL

  Medicare reassignment NPD
• The Sylacauga Health Care Authority

  dba dba Sylacauga Surgical Associates

  • General Acute Care Hospital
  • Sylacauga, AL
  • NPI 1386853125
  NPD (past)

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

• Sylacauga Health Care Authority Inc

  dba Coosa Valley Medical Center

  • Rural Acute Care Hospital
  • Sylacauga, AL
  • NPI 1972527265
  Care Compare affiliation

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1548437718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 OLD ROCKY RIDGE RD",
            "address_2": "SUITE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352167235",
            "telephone_number": "205-989-1080",
            "fax_number": "205-989-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-401-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352333408",
            "country_code": "US",
            "telephone_number": "205-933-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "MD.31741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06037",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E Jones Jr., CRNA
• Falifia Jordan
• Julie Smith, O.D., P.C.
• Thomas Bryant Keith, PHYSICAL THERAPIST
• Imad Khdair, MD
• Thomas M Kines, OD
• Jennifer King, PHARMD
• Chiquita Kirkland
• Robert Joseph Kline, PH.D.
• Carmen Brooke Knox, LCSW

• Anesthesiology Physician in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Anesthesiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.

Verify at the official NPI Registry.