Active NPI
Ronald M Kimberlin, MD
- Endocrinology, Diabetes & Metabolism Physician
- Newburgh, IN
National Provider Identifier
1659358026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 01027359A
- Practice address
- 4015 Gateway Blvd
3Rd Floor
Newburgh, IN 47630-8925 - Phone
- (812) 858-6244
- Fax
- (812) 858-6240
- NPI assigned
- Dec 28, 2005
- Last updated
- Sep 10, 2009
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01027359A | IN | Primary |
Addresses
Primary practice location
4015 Gateway Blvd
3Rd Floor
Newburgh, IN 47630-8925
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 858-6244
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043679294006 | Other | UNICARE | |
| 100337400 | Medicaid | IN | |
| 179426 | Other | HEALTHLINK | |
| 000000532944 | Other | IN | ANTHEM PIN |
| 04367929405 | Other | DONLEY & CO. | |
| 110245037 | Other | RAILROAD MEDICARE | |
| 080117 | Other | HEALTH ALLIANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027359A | IN | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital Inc | Past | Accepting new patients | |
| Physicians' Health Group, LLC | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Bellemeade Internal Medicine
- Internal Medicine Physician
- Evansville, IN
- NPI 1730157355
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1659358026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061510",
"telephone_number": "812-858-6244",
"fax_number": "812-858-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 GATEWAY BLVD",
"address_2": "3RD FLOOR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308925",
"telephone_number": "812-858-6244",
"fax_number": "812-858-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBERLIN",
"first_name": "RONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IN",
"license": "01027359A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "043679294006",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100337400",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "179426",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000532944",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DONLEY & CO.",
"identifier": "04367929405",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110245037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "080117",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.