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KIMBERLY M FAGAN M.D.
NPI 1033200167
Specialist in Birmingham, AL

Active since September 27, 2006PECOS Enrolled
3125 INDEPENDENCE DR, SUITE 300A, BIRMINGHAM, AL 35209(205) 879-8206(205) 271-3075 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly M Fagan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY M FAGAN M.D. (NPI 1033200167) is an individual specialist in Birmingham, Alabama, licensed in Alabama (14105) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033200167
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKIMBERLY M FAGANCredential: M.D.
Location Address3125 INDEPENDENCE DR, SUITE 300ABirmingham, AL 35209-4159
Mailing Address3125 Independence Dr, Suite 300aBirmingham, AL 35209-4159 · (205) 879-8206 · Fax (205) 271-3075
Phone(205) 879-8206
Fax(205) 271-3075
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateFebruary 9, 2016
✔ NPI 1033200167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 14105
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3125 INDEPENDENCE DR, Birmingham, AL 35209
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC73789AL
OtherI621AL · Medicare Id Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly M Fagan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Alabama Health Services Foundation, PC
2.3 mi
Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1356377576 (205) 939-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON COOPER GRAMMER DPT
Physical Therapist
3125 INDEPENDENCE DR, SUITE 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
MS. ROBIN VANCHINA MSPT
Physical Therapist
3125 INDEPENDENCE DR, 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
DR. ASHLEY WOLCHINA ALLISON MD
Pathology (Dermatopathology)
3125 INDEPENDENCE DR, SUITE 301
HOMEWOOD, AL 35209
Jefferson County (205) 879-2260
MR. JONATHAN E DELK MSPT
Physical Therapist
3125 INDEPENDENCE DR, 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
MS. CYNTHIA ANN MCMINN CRNP
Nurse Practitioner (Adult Health)
3125 INDEPENDENCE DR, SUITE # 108
BIRMINGHAM, AL 35209
Jefferson County (205) 868-1313
LINDSEY FROST MITCHELL D.P.T.
Physical Therapist
3125 INDEPENDENCE DR, SUITE 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
MRS. LAURA MAYHALL CHAMBLEE MSPT
Physical Therapist
3125 INDEPENDENCE DR, 300 B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
PHILLIP J MOORE DPT
Physical Therapist
3125 INDEPENDENCE DR, STE 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Fagan's NPI number?

The NPI number for Kimberly Fagan is 1033200167. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Kimberly Fagan located?

Kimberly Fagan practices at 3125 Independence Dr Suite 300A, Birmingham, AL 35209. The listed phone number is (205) 879-8206.

What is Kimberly Fagan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kimberly Fagan enrolled in Medicare?

Yes. Kimberly Fagan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fagan reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Fagan was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.