DR. KIMBERLY ELISE PORTALE D.O.
NPI 1134482656
Obstetrics & Gynecology in O Fallon, IL
About Dr. Kimberly Elise Portale D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY ELISE PORTALE D.O. (NPI 1134482656) is an individual obstetrics & gynecology provider in O Fallon, Illinois, licensed in California (20A13356) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kimberly Elise Portale D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
O FALLON, IL 62269
O FALLON, IL 62269
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 Portale's NPI number?
The NPI number for Kimberly Portale is 1134482656. It was assigned to this individual provider in the NPPES registry on June 19, 2012.
Where is Kimberly Portale located?
Kimberly Portale practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 234-2120.
What is Kimberly Portale's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kimberly Portale enrolled in Medicare?
Yes. Kimberly Portale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kimberly Portale affiliated with any hospitals?
According to CMS data, Kimberly Portale is affiliated with Hshs St Elizabeth's Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Portale was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Dr. Kimberly Elise Portale, D.O. · NPI 1134482656
Obstetrics & Gynecology physician in O Fallon, Illinois. Individual provider, active in the CMS NPPES registry since June 19, 2012.
## Identity
- **NPI:** 1134482656 (Entity type: Individual)
- **Enumerated:** June 19, 2012
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 20A13356 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 SAINT ELIZABETH BLVD, O Fallon, IL 62269-1099
- **Phone:** (618) 234-2120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Kansas City College Of Medicine And Surgery, class of 2012
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134482656) · Data from the CMS NPPES public registry.