NPIMap

Individual provider Active NPI

Kim M Pierce, MD

  • Internal Medicine Physician
  • Butler, PA
National Provider Identifier
1659431104
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD072445L Issued in PA
Practice address
102 Technology Dr Ste 110a
Butler, PA 16001-1784
Phone
(833) 917-0873
Fax
(724) 482-0185
NPI assigned
Dec 12, 2006
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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 MD072445L PA Primary

Addresses

Primary practice location

102 Technology Dr Ste 110a
Butler, PA 16001-1784

Mailing address

PO Box 1549
Butler, PA 16003-1549
Phone (724) 284-4060

Other identifiers 1

IdentifierTypeStateIssuer
0018562650006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000997 PA Practitioner - Internal Medicine 5698665537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

101 Alwine Rd
Saxonburg, PA 16056-8604

102 Technology Dr
Butler, PA 16001-1784

116 Woody Dr
BHS Neurology
Butler, PA 16001-5692
Phone (833) 955-0117

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

24 Doctors LN
Clarion, PA 16214-8574

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072445LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Jan 15, 2020 Accepting new patients
Butler Medical Providers Internal Medicine CurrentSince Jan 15, 2020 Accepting new patients
Butler Medical Providers Current Accepting new patients
Upmc Magee-Womens Hospital Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Butler Medical Providers Past Accepting new patients
Upmc Magee-Womens Hospital Past Accepting new patients

Locations

102 Technology Dr
Ste 110A
Butler, PA 16001
Phone (833) 917-0873

102 Technology Dr
Ste 250
Butler, PA 16001
Phone (833) 917-0873

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Interoperability endpoints

  • Direct secure messaging: kim.pierce@direct-address.net

Organizations & group practices 7

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1659431104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-284-4060",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOGY DR STE 110A",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011784",
            "telephone_number": "833-917-0873",
            "fax_number": "724-482-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD072445L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018562650006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.