Active NPI
Kristopher T Kimmell, MD
- Neurological Surgery Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 285417
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902122203 | Medicaid | MO |
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
Enrollment records 1
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
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 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 127 |
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Past | 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
- 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.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- Neurology Physician
- North Kansas City, MO
- NPI 1023439833
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1619606159
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rochester, NY
- NPI 1336366822
Hospital
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1477798189
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rochester, NY
- NPI 1689891178
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Rochester, NY
- NPI 1730237603
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.