KEVIN W KIMMEL PA-C
NPI 1164838587
Physician Assistant - Medical in Middletown, CT

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment
28 CRESCENT ST, MIDDLETOWN, CT 06457(860) 358-6000 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kevin W Kimmel Pa-c NPPES

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

KEVIN W KIMMEL PA-C (NPI 1164838587) is an individual medical provider in Middletown, Connecticut, licensed in Connecticut (3141) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Essex, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164838587
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN W KIMMELCredential: PA-C
Location Address28 CRESCENT STMiddletown, CT 06457-3654
Mailing Address28 Crescent StMiddletown, CT 06457-3654
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 7, 2014
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
NPI 1164838587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 3141
Also ListedPhysician AssistantTaxonomy 363A00000X
28 CRESCENT ST, Middletown, CT 06457

Secondary Practice Location 1

Location 112 Bokum RdEssex, CT 06426-1500 · Phone (860) 767-9053 · Fax (860) 767-1146

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

Kevin W Kimmel Pa-c 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 ID6002109204
PECOS Enrollment IDI20160726001667
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.

Preventive Medicine (Occupational Medicine)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Internal Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST, MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT
MIDDLETOWN, CT 06457
Pediatrics
28 CRESCENT ST
MIDDLETOWN, CT 06457
Hospitalist
28 CRESCENT ST
MIDDLETOWN, CT 06457
Radiology (Diagnostic Radiology)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Psychiatry & Neurology (Psychiatry)
28 CRESCENT ST
MIDDLETOWN, CT 06457

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 Kevin Kimmel's NPI number?

The NPI number for Kevin Kimmel is 1164838587. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Kevin Kimmel located?

Kevin Kimmel practices at 28 Crescent St, Middletown, CT 06457. The listed phone number is (860) 358-6000.

What is Kevin Kimmel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Kimmel enrolled in Medicare?

Yes. Kevin Kimmel 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.

When was this NPI record last updated?

The NPPES record for Kevin Kimmel was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.