Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER NEIL KIMBLE
NPI 1407571482
Internal Medicine in Louisville, KY

Active since October 11, 2022PECOS EnrolledAccepts Medicare Assignment
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 636-7111 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Oct 11, 2022 (2 updates tracked since 2022).

About Tyler Neil Kimble NPPES

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

TYLER NEIL KIMBLE (NPI 1407571482) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (62051) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407571482
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTYLER NEIL KIMBLE
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing Address1 Audubon Plaza DrLouisville, KY 40217-1318
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 11, 2022
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1407571482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 62051
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 AUDUBON PLAZA DR, Louisville, KY 40217

Other Names 1

Former Name (1)Tyler Neil Ellison

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

Tyler Neil Kimble 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 ID4688166929
PECOS Enrollment IDI20251124002342
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.

Hospital Affiliations CMS Care Compare

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Radiology (Diagnostic Radiology)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217

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 Tyler Kimble's NPI number?

The NPI number for Tyler Kimble is 1407571482. It was assigned to this individual provider in the NPPES registry on October 11, 2022. The provider is also known as Tyler Neil Ellison.

Where is Tyler Kimble located?

Tyler Kimble practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 636-7111.

What is Tyler Kimble's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tyler Kimble enrolled in Medicare?

Yes. Tyler Kimble 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.

Is Tyler Kimble affiliated with any hospitals?

According to CMS data, Tyler Kimble is affiliated with Uniontown Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Kimble was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.