Irene Kimovec, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301048232 Issued in MI

Practice address

1915 N Perry St
Pontiac, MI 48340-2237

Phone

(248) 276-3999

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1851334254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD",
            "address_2": "SUITE 3900",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402237",
            "telephone_number": "248-276-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMOVEC",
        "first_name": "IRENE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301048232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Centers of Michigan LLC
• Jordan Kieft
• Lord J. Kim, LMSW
• Young DO Kim, DDS
• Jessica Kimball, DO
• Kindred Helpers Network LLC
• Demira Montasia King
• Derrick L King
• Megan King, RN
• Molly King, LLMSW

• Family Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.