Active NPI
Eben Joshua Kimball, M.D.
- Internal Medicine Physician
- Sharon, CT
National Provider Identifier
1922533553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 80904
- Practice address
- 50 Hospital Hill Rd
Sharon, CT 06069-2096 - Phone
- (860) 364-4000
- NPI assigned
- Apr 20, 2017
- Last updated
- Jun 5, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 306948 | NY | |
| Internal Medicine Physician | 207R00000X | 80904 | CT | Primary |
Addresses
Primary practice location
50 Hospital Hill Rd
Sharon, CT 06069-2096
Mailing address
185 Baldwin Hill Rd
New Preston, CT 06777-1805
Phone (860) 671-0797
Other practice location 1
8268 164th St
Jamaica, NY 11432-1104
Phone (718) 883-4590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (860) 364-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80904 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
Locations
50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000
Interoperability endpoints
- ekimball252301@nychhc.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Queens Hospital Center
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
dba Sharon Hospital
- General Acute Care Hospital
- Sharon, CT
- NPI 1235131442
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1922533553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 BALDWIN HILL RD",
"city": "NEW PRESTON",
"state": "CT",
"postal_code": "067771805",
"telephone_number": "860-671-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HOSPITAL HILL RD",
"city": "SHARON",
"state": "CT",
"postal_code": "060692096",
"telephone_number": "860-364-4000"
}
],
"practiceLocations": [
{
"address_1": "8268 164th St",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114321104",
"country_code": "US",
"telephone_number": "718-883-4590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMBALL",
"first_name": "EBEN",
"middle_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-20",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "306948",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "80904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.