BLAIR ALLISON KIMBLE MD
NPI 1427798255
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Blair Kimble's NPI number?

The NPI number for Blair Kimble is 1427798255. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Blair Kimble's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Blair Kimble was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 30, 2022PECOS Enrolled

2500 METROHEALTH DR, CLEVELAND, OH 44109(978) 505-3237 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Blair Allison Kimble Md NPPES

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

BLAIR ALLISON KIMBLE MD (NPI 1427798255) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427798255

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBLAIR ALLISON KIMBLECredential: MD

Location Address2500 METROHEALTH DRCleveland, OH 44109-1998

Mailing Address2500 Metrohealth DrCleveland, OH 44109-1998 · (978) 505-3237

Phone(978) 505-3237

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1427798255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 METROHEALTH DR, Cleveland, OH 44109

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blair Allison Kimble Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002370426

PECOS Enrollment IDI20260715004389

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 20

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

AMIR RAZAVI MD

Internal Medicine