KIMBERLY COOK KHOSLA MD
NPI 1659358596
Pediatrics in Dayton, OH

Q: What is Kimberly Khosla's NPI number?

The NPI number for Kimberly Khosla is 1659358596. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Kimberly Khosla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Khosla was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 December 30, 2005PECOS Enrolled

1010 VALLEY ST, DAYTON, OH 45404(937) 641-4000(937) 641-4500 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 31, 2024, Nov 21, 2024 (2 updates tracked since 2024).

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About Kimberly Cook Khosla Md NPPES

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

KIMBERLY COOK KHOSLA MD (NPI 1659358596) is an individual pediatrics provider in Dayton, Ohio, licensed in Ohio (35073226) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659358596

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKIMBERLY COOK KHOSLACredential: MD

Location Address1010 VALLEY STDayton, OH 45404-2070

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3555 · Fax (937) 641-4528

Phone(937) 641-4000

Fax(937) 641-4500

Sole ProprietorNo

Enumeration DateDecember 30, 2005

Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration

NPPES CertifiedDecember 31, 2024

✔ NPI 1659358596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35073226

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1010 VALLEY ST, Dayton, OH 45404

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Other Identifiers 7

Other000000360983Anthem

Medicaid2429894OH

Other522374873030Caresource

OtherD7322604Humana

Other11443924Caqh#

Other7956655Aetna

Other1205294Uhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Cook Khosla Md 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 Khosla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dayton Children's Specialty Physicians, Inc.

0.5 mi

Pediatrics

1 CHILDRENS PLZ
Dayton, OH 45404

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
479 clinicians in this Medicare group

NPI 1225192610 (937) 641-4000

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 45404 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

DR. SARA FRANCES GUERRERO-DUBY MD

Pediatrics