Individual provider Active NPI

Kimberly A Sherman, DO

  • Internal Medicine Physician
  • Walton, NY
National Provider Identifier
1619998077
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220948 Issued in NY
Practice address
2 Titus Place
Walton, NY 13856
Phone
(607) 865-2400
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220948 NY Primary

Addresses

Primary practice location

2 Titus Place
Walton, NY 13856

Mailing address

2 Titus Place
Walton, NY 13856
Phone (607) 865-2400

Other identifiers 1

IdentifierTypeStateIssuer
02161668MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051026000103 NY Practitioner - Internal Medicine 9537186986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220948NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Hospital, Inc Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Internal Medicine Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Aug 1, 2006 Accepting new patients
Delaware Valley Hospital, Inc CurrentSince Aug 13, 2023 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Aug 1, 2006 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Internal Medicine Associates of the Finger Lakes Internal Medicine PastSince Oct 1, 2002 Accepting new patients
New York Em-III Medical Services, PC Internal Medicine Past Accepting new patients
Adam Law, MD, PC Internal Medicine PastSince Nov 1, 2002 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

39 E Main St
Hancock, NY 13783
Phone (607) 637-5700

2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1619998077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TITUS PLACE",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "13856",
            "telephone_number": "607-865-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TITUS PLACE",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "13856",
            "telephone_number": "607-865-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-05-21",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02161668",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, NY

Sources for this page

Verify at the official NPI Registry.