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DR. GARY KIMMEL M.D.
NPI 1215940671
Surgery - Plastic and Reconstructive Surgery in Brooklyn, NY

Active since August 15, 2006PECOS Enrolled
112 PROSPECT PARK W, BROOKLYN, NY 11215(718) 832-9488(718) 369-1753 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary Kimmel M.d. NPPES

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

DR. GARY KIMMEL M.D. (NPI 1215940671) is an individual plastic and reconstructive surgery provider in Brooklyn, New York, licensed in New York (214093) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215940671
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. GARY KIMMELCredential: M.D.
Location Address112 PROSPECT PARK WBrooklyn, NY 11215-3710
Mailing Address112 Prospect Park WBrooklyn, NY 11215-3710 · (718) 832-9488 · Fax (718) 369-1753
Phone(718) 832-9488
Fax(718) 369-1753
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215940671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NY · 214093
Definition
A surgeon who specializes in plastic and reconstructive surgery.
112 PROSPECT PARK W, Brooklyn, NY 11215
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Other Identifiers 2

Medicare ID-Type Unspecified468G61NY
Medicare UPINH69954NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Kimmel M.d. 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 2

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

ARIE FLEISCHER, M.D., P.C.
Plastic Surgery
112 PROSPECT PARK W
BROOKLYN, NY 11215
Kings County (718) 788-9201
GARY KIMMEL MD PC
Plastic Surgery
112 PROSPECT PARK W
BROOKLYN, NY 11215
Kings County (718) 832-9488

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 Gary Kimmel's NPI number?

The NPI number for Gary Kimmel is 1215940671. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Gary Kimmel located?

Gary Kimmel practices at 112 Prospect Park W, Brooklyn, NY 11215. The listed phone number is (718) 832-9488.

What is Gary Kimmel's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Gary Kimmel enrolled in Medicare?

Yes. Gary Kimmel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Kimmel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.