Ross M Kimball, MD
Individual provider Active NPI Family Medicine Physician · Garnett, KS
NPI 1982876512 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1982876512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-34011 (KS)
- Practice address
- 312 S Maple St
Garnett, KS 66032-1333 - Phone
- (888) 777-9170
- Fax
- (785) 448-3091
- NPI assigned
- Mar 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Southeast Kansas Inc
Practice addresses (Care Compare)
312 S Maple St
Garnett, KS 66032-1333
Phone (888) 777-9170
Hospital & facility affiliations
- Angels Care Home Health
- Saint Lukes Home Care
- Faith Home Healthcare, Inc
- Good Shepherd Hospice of Mid America Inc
- Anderson County Hospital
- Adventhealth Ottawa
- Miami County Medical Center
- Saint Luke'S South Hospital
- Parkview Heights Nursing and Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111020000197 | KS | Practitioner - Family Practice | 5092987826 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas, Inc | Current |
Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Family Medicine | Current |
Accepting new patients |
| Saint Lukes Hospital of Garnett Inc | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Family Medicine | Current |
Accepting new patients |
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc | Past | Accepting new patients |
Locations
601 E Washington St
Arma, KS 66712
Phone (620) 347-4033
100 N Military Ave
Baxter Springs, KS 66713
2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900
102 Cline Rd
Coffeyville, KS 67337
Phone (620) 252-6989
801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300
124 S Highschool Ave
Columbus, KS 66725
101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101
2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135
312 S Maple St
Garnett, KS 66032
Phone (785) 448-6988
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260
2051 N State St
Iola, KS 66749
Phone (620) 380-6400
203 N Kentucky St
Iola, KS 66749
1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575
302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203
2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159
1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160
924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788
1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110
106 NW Veterans Blvd
Miami, OK 74354
Phone (918) 238-2410
7 S 1st St
Wyandotte, OK 74370
Phone (918) 533-9717
Interoperability endpoints
- rkimball63792@direct.saint-lukes.org
- ross.kimball@chcsek.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-34011 | KS | Yes |
Addresses
Primary practice location
312 S Maple St
Garnett, KS 66032-1333
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
Phone (887) 779-1708
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200733670C | Medicaid | KS |
Other providers in Garnett, KS
- J J Padfield
- Kenneth Edward Jarett
- Jessica Johnston
- Ashlea Jurgenson
- Kevin M. Rycheck
- Kristi Lee Lickteig
- Lighting Creek Investment Group Inc
- Manor of Garnett, Inc
- Cecilia Mathis
- Matthew D. Skahan, O.D., P.a.
All providers in Garnett, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.