Active NPI
Patrick C Kippenbrock, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 1032790A
- Practice address
- 2015 Jackson St
Anderson, IN 46016-4337 - Phone
- (765) 646-8433
- Fax
- (765) 683-2528
- NPI assigned
- Dec 14, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1032790A | IN | Primary |
Addresses
Primary practice location
2015 Jackson St
Anderson, IN 46016-4337
Mailing address
4095 Reliable Parkway
Chicago, IL 60686-0040
Phone (314) 821-8055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000085494 | Other | IN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Indiana University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7000
Hospital & facility affiliations
- Union Hospital Inc
- Ascension St Vincent Hospital
- Union Hospital Clinton
- Sullivan County Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.59 of 100
- Quality
- 93.8
- Improvement activities
- 40
- Cost
- 79.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032790A | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Cincinnati Pathologists, Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Anderson Pathologists Inc. PC | Past | Accepting new patients |
Locations
321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Cincinnati, OH
- NPI 1407844657
IN
-
- Clinical Medical Laboratory
- Anderson, IN
- NPI 1750366993
-
dba Paris Community Hospital
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
- Critical Access Hospital
- Sullivan, IN
- NPI 1497759260
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
-
- General Acute Care Hospital
- Clinton, IN
- NPI 1093713802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1598740334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4095 RELIABLE PARKWAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860040",
"telephone_number": "314-821-8055",
"fax_number": "314-821-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 JACKSON ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164337",
"telephone_number": "765-646-8433",
"fax_number": "765-683-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPPENBROCK",
"first_name": "PATRICK",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "1032790A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000085494",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.