Individual provider Active NPI

Kimberly M Imajo, AU.D.

  • Audiologist
  • Richmond, VA
National Provider Identifier
1689744377
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001143 Issued in VA
Practice address
7275 Glen Forest Drive
Suite 208
Richmond, VA 23226
Phone
(804) 282-0022
Fax
(804) 282-2441
NPI assigned
Nov 9, 2006
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001143 VA Primary
Hearing Instrument Specialist 237700000X 2101001343 VA

Addresses

Primary practice location

7275 Glen Forest Drive
Suite 208
Richmond, VA 23226

Mailing address

7275 Glen Forest Drive
Suite 208
Richmond, VA 23226
Phone (804) 282-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070424000422 VA Practitioner - Qualified Audiologist 7719082502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Virginia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Hearing Doctors PLLCGroup PAC ID 4284809708, 7 clinicians

Practice addresses (Care Compare)

7301 Forest Ave
Suite 202
Richmond, VA 23226-3792
Phone (804) 818-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201001143VAMDAudiologist
2101001343VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Hearing Doctors, PLLC CurrentSince May 19, 2011 Accepting new patients
Virginia Commonwealth University Health System Authority Past Accepting new patients
MCV Associated Physicians PastSince Aug 7, 2016 Accepting new patients
Hearing Clinics of Virginia, LLC Audiologist Past Accepting new patients

Locations

13924 Coalfield Commons Pl
Ste 200
Midlothian, VA 23114
Phone (804) 818-0000

13925 Coalfield Commons Pl
Ste 101
Midlothian, VA 23114
Phone (804) 818-0000

7275 Glen Forest Dr
Ste 208
Richmond, VA 23226
Phone (804) 282-0022

7301 Forest Ave
Ste 202
Richmond, VA 23226
Phone (804) 533-7272

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1689744377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 GLEN FOREST DRIVE",
            "address_2": "SUITE 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-282-0022",
            "fax_number": "804-282-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 GLEN FOREST DRIVE",
            "address_2": "SUITE 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-282-0022",
            "fax_number": "804-282-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAJO",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001143",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.