KIMMELCARE FAMILY PRACTICE PA
NPI 1679511224
Family Medicine in Melbourne, FL

Active since June 04, 2006CLIA 10D0963188 · Waiver
2230 N WICKHAM RD, SUITE B, MELBOURNE, FL 32935(321) 757-0600(321) 757-0690 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kimmelcare Family Practice Pa NPPES

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

KIMMELCARE FAMILY PRACTICE PA (NPI 1679511224) is a healthcare organization registered as a family medicine in Melbourne, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Murray A Kimmel, President, as its authorized official.

NPPES Registry Identity

NPI1679511224
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKIMMELCARE FAMILY PRACTICE PA
Location Address2230 N WICKHAM RD, SUITE BMelbourne, FL 32935
Mailing Address2230 N Wickham Rd, Suite BMelbourne, FL 32935 · (321) 757-0600 · Fax (321) 757-0690
Fax(321) 757-0690
Organization SubpartNo
Authorized OfficialMurray A KimmelPresident · (321) 757-0600
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
✔ NPI 1679511224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2230 N WICKHAM RD, Melbourne, FL 32935

Other Identifiers 7

Medicaid379144100FL
Other2001160FL · Aetna Hmo
Other4847751001FL · Cigna
Other57253FL · Bcbs
Other02131FL · Universal Healthcare
Other27886FL · Wellcare Staywell
Other5619422FL · Aetna Ppo

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0963188

Kimmelcare Family Practice PA · Melbourne, FL
Active · expires Jun 20, 2028
CLIA Number10D0963188
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorMurray A. Kimmel
Laboratory Phone(321) 757-0600
Laboratory LocationKimmelcare Family Practice PA2230 N Wickham Rd Ste B, Melbourne, FL 32935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
2230 N WICKHAM RD, SUITE B
MELBOURNE, FL 32935

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 Kimmelcare Family Practice PA's NPI number?

The NPI number for Kimmelcare Family Practice PA is 1679511224. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Kimmelcare Family Practice PA located?

Kimmelcare Family Practice PA is located at 2230 N Wickham Rd Suite B, Melbourne, FL 32935. The listed phone number is (321) 757-0600.

What is Kimmelcare Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kimmelcare Family Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0963188) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kimmelcare Family Practice PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Molina Healthcare list Kimmelcare Family Practice PA 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.

When was this NPI record last updated?

The NPPES record for Kimmelcare Family Practice PA was last updated on September 29, 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.