KIMBERLY C IRWIN MD
NPI 1376547042
Pediatrics - Pediatric Nephrology in Philadelphia, PA

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5000 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2023, Feb 10, 2021, Jan 16, 2020 and 3 more (6 updates tracked since 2016).

About Kimberly C Irwin Md NPPES

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

KIMBERLY C IRWIN MD (NPI 1376547042) is an individual pediatric nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD462830) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of West Virginia University School Of Medicine (1986).

NPPES Registry Identity

NPI1376547042
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameKIMBERLY C IRWINCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1986
Enumeration DateJune 9, 2005
Last NPPES UpdateMay 21, 20246 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1376547042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in PA · MD462830
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License MD462830 (PA)
160 E ERIE AVE, Philadelphia, PA 19134

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly C Irwin Md 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 ID9436386554
PECOS Enrollment IDI20180103002775
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 Reassignments

3

Medicare enrollment records show Kimberly Irwin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
Pediatrics
1179 T J JACKSON DR
Falling Waters, WV 25419
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, West Virginia enrollment
  • 228 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

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.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

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 Irwin's NPI number?

The NPI number for Kimberly Irwin is 1376547042. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Kimberly Irwin located?

Kimberly Irwin practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.

What is Kimberly Irwin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Kimberly Irwin enrolled in Medicare?

Yes. Kimberly Irwin 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.

Which organizations bill Medicare for Kimberly Irwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Irwin reassigns Medicare benefits to 3 organizations: Stc Pediatrics LLC (Philadelphia, PA), Spring Mills Medical Center (Falling Waters, WV) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Irwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Irwin accept?

Health plans from CareSource list Kimberly Irwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Irwin affiliated with any hospitals?

According to CMS data, Kimberly Irwin is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Kimberly Irwin was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.