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DAVID MICHAEL KIMBALL DO
NPI 1063261865
Student in an Organized Health Care Education/Training Program in Lancaster, OH

Active since May 14, 2024PECOS Enrolled
135 N EWING ST STE 304, LANCASTER, OH 43130(740) 687-8397(740) 654-4103 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Michael Kimball Do NPPES

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

DAVID MICHAEL KIMBALL DO (NPI 1063261865) is an individual student in an organized health care education/training program in Lancaster, Ohio and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063261865
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID MICHAEL KIMBALLCredential: DO
Location Address135 N EWING ST STE 304Lancaster, OH 43130-3379
Mailing Address135 N Ewing St Ste 304Lancaster, OH 43130-3379 · (740) 687-8397 · Fax (740) 654-4103
Phone(740) 687-8397
Fax(740) 654-4103
Sole ProprietorYes
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1063261865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
135 N EWING ST STE 304, Lancaster, OH 43130
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Michael Kimball Do 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.

Other Providers at the Same Location NPPES 11

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

HIREN JAGDISH PATEL DO
Student in an Organized Health Care Education/Training Program
135 N EWING ST STE 304
LANCASTER, OH 43130
Fairfield County (740) 687-8397
DR. JEFFERY LAWRENCE JONES II DO
Student in an Organized Health Care Education/Training Program
135 N EWING ST STE 304
LANCASTER, OH 43130
Fairfield County (740) 687-8397
KRISTEN SHAH KING
Student in an Organized Health Care Education/Training Program
135 N EWING ST STE 304
LANCASTER, OH 43130
Fairfield County (740) 687-8397
TRILOK POLAVARAM
Student in an Organized Health Care Education/Training Program
135 N EWING ST STE 304
LANCASTER, OH 43130
Fairfield County (740) 687-8397
JENCY KOSHY
Internal Medicine
135 N EWING ST STE 304
LANCASTER, OH 43130
Fairfield County (740) 687-8397
MUHAMMAD ABDULLAH ISRAR MD
Student in an Organized Health Care Education/Training Program
135 N EWING ST STE 304
LANCASTER, OH 43130
Fairfield County (740) 687-8397
YANXI ZHANG
Student in an Organized Health Care Education/Training Program
135 N EWING ST STE 304
LANCASTER, OH 43130
Fairfield County (740) 687-8397
QAZI FAIZAN HAIDER MD
Internal Medicine
135 N EWING ST STE 304
LANCASTER, OH 43130
Fairfield County (740) 687-8397

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 David Kimball's NPI number?

The NPI number for David Kimball is 1063261865. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is David Kimball located?

David Kimball practices at 135 N Ewing St Ste 304, Lancaster, OH 43130. The listed phone number is (740) 687-8397.

What is David Kimball's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Kimball enrolled in Medicare?

Yes. David Kimball is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Kimball was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.