MARK KIMBOROWICZ MD
NPI 1083655641
General Practice in Salem, OH

Q: What is Mark Kimborowicz's NPI number?

The NPI number for Mark Kimborowicz is 1083655641. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Mark Kimborowicz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Kimborowicz was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 08, 2006PECOS Enrolled

1995 E STATE ST, SALEM, OH 44460(330) 332-1551 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 9, 2018 (2 updates tracked since 2018).

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About Mark Kimborowicz Md NPPES

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

MARK KIMBOROWICZ MD (NPI 1083655641) is an individual general practice provider in Salem, Ohio, licensed in Ohio (35.047626) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1083655641

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMARK KIMBOROWICZCredential: MD

Location Address1995 E STATE STSalem, OH 44460-2423

Mailing Address7350 Industrial Park BlvdMentor, OH 44060-5318 · (216) 732-9480

Phone(330) 332-1551

Sole ProprietorYes

Enumeration DateJune 8, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1083655641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OH · 35.047626

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License 35047626K (OH)

1995 E STATE ST, Salem, OH 44460

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Secondary Practice Location 1

Location 11995 E State StSalem, OH 44460-2423 · Phone (330) 332-1551

Other Identifiers 3

Medicaid0493201OH

Other942460636194OH · Caresource

Other930000109OH · Medicare Rr-ga

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Kimborowicz Md 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 20

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

NORTHSTAR ANESTHESIA

General Acute Care Hospital