Active NPI
Stephen H Kimura, MD
- Allergy & Immunology (Internal Medicine) Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- ME0076685
- Practice address
- 5401 Corporate Woods Dr Ste 100
Pensacola, FL 32504-8974 - Phone
- (850) 969-2340
- Fax
- (850) 969-2345
- NPI assigned
- Nov 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 20878 | AL | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | ME0076685 | FL | Primary |
Addresses
Primary practice location
5401 Corporate Woods Dr Ste 100
Pensacola, FL 32504-8974
Mailing address
8333 N Davis Hwy
Pensacola, FL 32514-6049
Phone (850) 474-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000
Hospital & facility affiliations
- Sacred Heart Hospital
- Baptist Hospital
- Gulf Breeze Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20878 | AL | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic, PA | Current | Accepting new patients | |
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Locations
5401 Corporate Woods Dr
Ste 100
Pensacola, FL 32504
Phone (850) 969-2340
8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000
2114 Airport Blvd
Ste 1500
Pensacola, FL 32504
Phone (850) 969-2340
Interoperability endpoints
- stephenkimura@medcenterclinic.direct.emds.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Pensacola, FL
- NPI 1568452688
-
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1891776563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146049",
"telephone_number": "850-474-8100",
"fax_number": "850-474-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 CORPORATE WOODS DR STE 100",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048974",
"telephone_number": "850-969-2340",
"fax_number": "850-969-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMURA",
"first_name": "STEPHEN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "AL",
"license": "20878",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "FL",
"license": "ME0076685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- 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.