KIMBERLY CAROLYN JOHNSON GILLIAM D.O.
NPI 1154594273
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Kimberly Johnson Gilliam's NPI number?

The NPI number for Kimberly Johnson Gilliam is 1154594273. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Q: What is Kimberly Johnson Gilliam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment

1401 S 4TH ST, PHILADELPHIA, PA 19147(215) 339-1070(215) 339-1080 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Carolyn Johnson Gilliam D.o. NPPES

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

KIMBERLY CAROLYN JOHNSON GILLIAM D.O. (NPI 1154594273) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS017109) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1154594273

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKIMBERLY CAROLYN JOHNSON GILLIAMCredential: D.O.

Location Address1401 S 4TH STPhiladelphia, PA 19147-5948

Mailing Address432 N 6th StPhiladelphia, PA 19123-4004 · (215) 925-2400 · Fax (215) 925-9162

Phone(215) 339-1070

Fax(215) 339-1080

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2005

Enumeration DateApril 9, 2008

Last NPPES UpdateMay 22, 2014

✔ NPI 1154594273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in PA · OS017109✔ Licensed in NJ · 25MB08474800

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1401 S 4TH ST, Philadelphia, PA 19147

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Kimberly Carolyn Johnson Gilliam 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.

PECOS PAC ID9537316617

PECOS Enrollment IDI20120824000036

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARLYNN RAE HALL LPC

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