Individual provider Active NPI

Kristopher T Kimmell, MD

  • Neurological Surgery Physician
  • Rochester, NY
National Provider Identifier
1902122203
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
285417 Issued in NY
Practice address
2655 Ridgeway Ave Ste 340
Rochester, NY 14626-4296
Phone
(585) 368-6545
Fax
(585) 368-6546
NPI assigned
Apr 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 285417 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave Ste 340
Rochester, NY 14626-4296

Mailing address

2655 Ridgeway Ave Ste 340
Rochester, NY 14626-4296
Phone (585) 368-6545

Other practice location 1

190 Washington Ave Ste 340
Batavia, NY 14020-2113
Phone (585) 723-7972

Other practice location 2

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (585) 368-6545

Other practice location 3

1445 Portland Ave Ste 304
Rochester, NY 14621-3008
Phone (585) 342-7170

Other identifiers 1

IdentifierTypeStateIssuer
1902122203MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190621001474 NY Practitioner - Neurosurgery 2365737772 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

100 Kings Hwy S
Rochester, NY 14617-5504

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

2655 Ridgeway Ave
Rochester, NY 14626-4296

4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 922-1000

6119 US Hwy 11
Canton, NY 13617-3991
Phone (315) 265-3300

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (315) 789-5061

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion127
Laminectomy or laminotomy (partial removal of spine bones)68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince May 1, 2020 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jul 1, 2019 Accepting new patients
Canton-Potsdam Hospital CurrentSince Nov 16, 2025 Accepting new patients
Canton-Potsdam Hospital CurrentSince Nov 16, 2025 Accepting new patients
Rochester General Hospital PastSince Jul 25, 2019 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

190 Washington Ave
Ste 340
Batavia, NY 14020
Phone (585) 723-7972

6119 US Highway 11
Canton, NY 13617
Phone (315) 261-5810

4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450

833 Canandaigua Rd
Geneva, NY 14456
Phone (315) 210-1331

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

2655 Ridgeway Ave
Ste 340
Rochester, NY 14626
Phone (585) 368-6545

1445 Portland Ave
Ste 304
Rochester, NY 14621
Phone (585) 342-7170

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: kkimmell263978@direct.rochesterregional.org

Organizations & group practices 9

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 8

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1902122203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE STE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE STE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Washington Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140202113",
            "country_code": "US",
            "telephone_number": "585-723-7972",
            "fax_number": "585-723-3119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562042",
            "country_code": "US",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1445 Portland Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213008",
            "country_code": "US",
            "telephone_number": "585-342-7170",
            "fax_number": "585-342-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMELL",
        "first_name": "KRISTOPHER",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "285417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902122203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.