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KIMBERLY A DODD M.D.
NPI 1366646820
Internal Medicine - Geriatric Medicine in Providence, RI

Active since June 11, 2007PECOS Enrolled
150 CHESTNUT ST STE 4, PROVIDENCE, RI 02903(833) 229-0957 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2020, Jan 31, 2020 (2 updates tracked since 2020).

About Kimberly A Dodd M.d. NPPES

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

KIMBERLY A DODD M.D. (NPI 1366646820) is an individual geriatric medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD13173) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pawtucket.

NPPES Registry Identity

NPI1366646820
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameKIMBERLY A DODDCredential: M.D.
Location Address150 CHESTNUT ST STE 4Providence, RI 02903-4649
Mailing Address111 Brewster StreetPawtucket, RI 02860-4400 · (401) 729-3469 · Fax (401) 729-2541
Phone(833) 229-0957
Sole ProprietorNo
Enumeration DateJune 11, 2007
Last NPPES UpdateApril 10, 20202 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
✔ NPI 1366646820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in RI · MD13173✔ Licensed in MA · 232516
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
150 CHESTNUT ST STE 4, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Brewster StreetPawtucket, RI 02860-4400 · Phone (401) 729-3469 · Fax (401) 729-2541

Other Identifiers 2

Other000137802RI · Medicare Ptan
MedicaidKD79114RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A Dodd 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Dodd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Concertocare Medical Group Of Rhode Island, PC
0.4 mi
Internal Medicine
10 DORRANCE ST STE 700
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 24 clinicians in this Medicare group
NPI 1982307609 (949) 292-6258

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dodd's NPI number?

The NPI number for Kimberly Dodd is 1366646820. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Kimberly Dodd located?

Kimberly Dodd practices at 150 Chestnut St Ste 4, Providence, RI 02903. The listed phone number is (833) 229-0957.

What is Kimberly Dodd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Kimberly Dodd enrolled in Medicare?

Yes. Kimberly Dodd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Dodd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Dodd reassigns Medicare benefits to Concertocare Medical Group Of Rhode Island, PC (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Dodd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Dodd was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.