Individual provider Active NPI

Marie Alixe Kima, M.D.

  • Infectious Disease Physician
  • Gainesville, FL
National Provider Identifier
1699733402
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME79445 Issued in FL
Practice address
500 NW 43Rd St
Suite#1
Gainesville, FL 32607-6125
Phone
(352) 378-9100
Fax
(352) 378-9005
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME79445 FL Primary

Addresses

Primary practice location

500 NW 43Rd St
Suite#1
Gainesville, FL 32607-6125

Mailing address

500 NW 43Rd St
Suite #1
Gainesville, FL 32607-6125
Phone (352) 378-9100

Other identifiers 3

IdentifierTypeStateIssuer
49970OtherFLBLUE CROSS AND BLUE SHIEL
257987100MedicaidFL
440003789OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060615000292 FL Practitioner - Infectious Disease 6002828969 Reassigns benefits to 1 organization
O20130204000221 FL DME Supplier - Physician - General Practice 0345252284 Practice locations: Gainesville, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Hahneman Medical College of the Pacific, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marie Alixe KimaGroup PAC ID 0345252284, 2 clinicians

Practice addresses (Care Compare)

500 NW 43Rd St
Suite 1
Gainesville, FL 32607-6126

Hospital & facility affiliations

  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79445FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marie Alixe Kima Infectious Disease CurrentSince Mar 15, 2002 Accepting new patients
Francisco J Camino PA Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

720 SW 2nd Ave
Ste 501
Gainesville, FL 32601
Phone (352) 336-3992

500 NW 43rd St
Ste 1
Gainesville, FL 32607
Phone (352) 271-5373

Interoperability endpoints

  • Direct secure messaging: mariekima@makpa.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1699733402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW 43RD ST",
            "address_2": "SUITE #1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076125",
            "telephone_number": "352-378-9100",
            "fax_number": "352-378-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 43RD ST",
            "address_2": "SUITE#1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076125",
            "telephone_number": "352-378-9100",
            "fax_number": "352-378-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMA",
        "first_name": "MARIE",
        "middle_name": "ALIXE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME79445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "49970",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257987100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "440003789",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.