DR. KIMBERLY KAROL ELMER M.D.
NPI 1346244704
Pediatrics - Adolescent Medicine in Clifton Park, NY

Q: What is Kimberly Elmer's NPI number?

The NPI number for Kimberly Elmer is 1346244704. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Kimberly Elmer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Elmer 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.

Active since June 13, 2005PECOS Enrolled

532 MOE RD, CLIFTON PARK, CLIFTON PARK, NY 12065(518) 383-2425(518) 383-3255 Get Directions Write a Review

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

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About Dr. Kimberly Karol Elmer M.d. NPPES

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

DR. KIMBERLY KAROL ELMER M.D. (NPI 1346244704) is an individual adolescent medicine provider in Clifton Park, New York, licensed in New York (200045) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346244704

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. KIMBERLY KAROL ELMERCredential: M.D.

Location Address532 MOE RD, CLIFTON PARKClifton Park, NY 12065-3822

Mailing Address532 Moe Rd, Clifton ParkClifton Park, NY 12065-3822 · (518) 383-2425 · Fax (518) 383-3255

Phone(518) 383-2425

Fax(518) 383-3255

Sole ProprietorNo

Enumeration DateJune 13, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346244704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NY · 200045

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

532 MOE RD, Clifton Park, NY 12065

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Other Identifiers 3

Medicare UPINDD1244NY

Medicare UPING16078NY

Medicaid00347562NY

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. Kimberly Karol Elmer 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 13

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

DR. CASEY ANNE TENNISWOOD DDS

Dentist (Pediatric Dentistry)