Active NPI
Noah B Kimball, M.D.
- Anesthesiology Physician
- Germantown, TN
National Provider Identifier
1922073840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD7207
- Practice address
- 1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954 - Phone
- (901) 818-2162
- Fax
- (901) 818-2163
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD7207 | TN | Primary |
Addresses
Primary practice location
1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954
Mailing address
1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954
Phone (901) 818-2162
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107025001 | Medicaid | AR | |
| 200544518 | Medicaid | MO | |
| 3172612 | Medicaid | TN | |
| 09353242 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD7207 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Alliance PLLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Germantown, TN
- NPI 1689641334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1922073840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 EXETER RD",
"address_2": "SUITE 210",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382954",
"telephone_number": "901-818-2162",
"fax_number": "901-818-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 EXETER RD",
"address_2": "SUITE 210",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382954",
"telephone_number": "901-818-2162",
"fax_number": "901-818-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBALL",
"first_name": "NOAH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "MD7207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107025001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200544518",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3172612",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09353242",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.