Individual provider Active NPI

Kimberly Jamison, MD

  • Nephrology Physician
  • Columbia, MO
National Provider Identifier
1568547180
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD36616 Issued in MO
Practice address
1600 E Broadway
Columbia, MO 65201-5844
Phone
(573) 815-8000
Fax
(573) 815-2638
NPI assigned
Oct 25, 2006
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD36616 MO Primary

Addresses

Primary practice location

1600 E Broadway
Columbia, MO 65201-5844

Mailing address

1600 E Broadway
Box #41
Columbia, MO 65201
Phone (573) 815-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050128000832 MO Practitioner - Internal MedicinePractitioner - Nephrology 9638129414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Missouri LLCGroup PAC ID 2668791690, 13 clinicians

Practice addresses (Care Compare)

1032 Old Des Peres Rd
Saint Louis, MO 63131-1865
Phone (314) 965-1346

1701 E Broadway
Suite 101
Columbia, MO 65201-8018
Phone (573) 815-3612

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.13 of 100Reported as individual
Quality
68.6
Improvement activities
40
Cost
73.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1711
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36616MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Missouri, LLC CurrentSince Jul 6, 2016 Accepting new patients
Landmark Hospital of Columbia LLC CurrentSince Jul 29, 2019 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1701 E Broadway
Columbia, MO 65201
Phone (573) 442-0573

1701 E Broadway
Fl 3
Columbia, MO 65201
Phone (314) 874-0870

1701 E Broadway
Ste 101
Columbia, MO 65201
Phone (573) 441-0606

604 Old Highway 63 N
Columbia, MO 65201
Phone (573) 499-6600

3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026

4741 Central St
Kansas City, MO 64112
Phone (816) 265-2551

1032 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 821-6181

Interoperability endpoints

  • Direct secure messaging: kimberlyjamison@mhccaremail.com
  • Direct secure messaging: kjamison@direct-address.org

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1568547180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E BROADWAY",
            "address_2": "BOX #41",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-8000",
            "fax_number": "573-815-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E BROADWAY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015844",
            "telephone_number": "573-815-8000",
            "fax_number": "573-815-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "MD36616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.