MARK KIMBOROWICZ MD
NPI 1083655641
General Practice in Salem, OH

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: October 25, 2026.

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

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
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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Kimborowicz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

12 mi
Family Medicine
7206 MARKET ST STE A
Boardman, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 268 clinicians in this Medicare group
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group

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.

General Acute Care Hospital
1995 E STATE ST
SALEM, OH 44460
Internal Medicine
1995 E STATE ST
SALEM, OH 44460
Nurse Practitioner
1995 E STATE ST
SALEM, OH 44460
Emergency Medicine
1995 E STATE ST
SALEM, OH 44460
Counselor (Mental Health)
1995 E STATE ST
SALEM, OH 44460
Emergency Medicine
1995 E STATE ST
SALEM, OH 44460
Internal Medicine
1995 E STATE ST
SALEM, OH 44460
Psychiatry & Neurology (Neurology)
1995 E STATE ST
SALEM, OH 44460

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 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.

Where is Mark Kimborowicz located?

Mark Kimborowicz practices at 1995 E State St, Salem, OH 44460. The listed phone number is (330) 332-1551.

What is Mark Kimborowicz's specialty?

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

Is Mark Kimborowicz enrolled in Medicare?

Yes. Mark Kimborowicz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Kimborowicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Kimborowicz reassigns Medicare benefits to 2 organizations: Vpa PC (Boardman, OH) and Emergency Professional Services, Inc. (Seaman, OH). Each 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 Mark Kimborowicz'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 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.