LDK III HOLDINGS, LLC
NPI 1073929089
Family Medicine in Hillsdale, MI

Q: What is Ldk III Holdings, LLC's NPI number?

The NPI number for Ldk III Holdings, LLC is 1073929089. It was assigned to this organization in the NPPES registry on July 10, 2014.

Q: What is Ldk III Holdings, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 10, 2014

451 HIDDEN MEADOWS DR, SUITE 120, HILLSDALE, MI 49242(517) 437-0010(517) 437-0319 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ldk Iii Holdings, Llc NPPES

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

LDK III HOLDINGS, LLC (NPI 1073929089) is a healthcare organization registered as a family medicine in Hillsdale, Michigan and active in the NPI registry since July 2014. The organization lists Lawrence Dustin Kimball, Physician, as its authorized official.

NPPES Registry Identity

NPI1073929089

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLDK III HOLDINGS, LLC

Location Address451 HIDDEN MEADOWS DR, SUITE 120Hillsdale, MI 49242-9812

Mailing Address451 Hidden Meadows Dr, Suite 120Hillsdale, MI 49242-9812 · (517) 437-0010 · Fax (517) 437-0319

Phone(517) 437-0010

Fax(517) 437-0319

Organization SubpartNo

Authorized OfficialLawrence Dustin KimballPhysician · (517) 437-0010

Enumeration DateJuly 10, 2014

Last NPPES UpdateAugust 19, 2014

✔ NPI 1073929089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101010860

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

451 HIDDEN MEADOWS DR, Hillsdale, MI 49242

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ldk Iii Holdings, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ldk III Holdings, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lawrence Kimball, DO

Family Practice

NPI 1346248937

451 HIDDEN MEADOWS DR SUITE 120
Hillsdale, MI 49242

(517) 437-0010

✔ PECOS✔ Accepts MedicareSame address

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

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 Ldk III Holdings, LLC's NPI number?

The NPI number for Ldk III Holdings, LLC is 1073929089. It was assigned to this organization in the NPPES registry on July 10, 2014.

Where is Ldk III Holdings, LLC located?

Ldk III Holdings, LLC is located at 451 Hidden Meadows Dr Suite 120, Hillsdale, MI 49242. The listed phone number is (517) 437-0010.

What is Ldk III Holdings, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ldk III Holdings, LLC enrolled in Medicare?

Yes. Ldk III Holdings, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ldk III Holdings, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ldk III Holdings, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ldk III Holdings, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ldk III Holdings, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ldk III Holdings, LLC was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.