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KIMBERLY BRUNGARDT TILLEY MD
NPI 1740338763
Internal Medicine in Los Angeles, CA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
1520 SAN PABLO ST STE 1300, LOS ANGELES, CA 90033(323) 442-5900 Get Directions Write a Review

NPPES record last updated: October 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Brungardt Tilley Md NPPES

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

KIMBERLY BRUNGARDT TILLEY MD (NPI 1740338763) is an individual internal medicine provider in Los Angeles, California, licensed in California (A95702) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2001).

NPPES Registry Identity

NPI1740338763
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKIMBERLY BRUNGARDT TILLEYCredential: MD
Location Address1520 SAN PABLO ST STE 1300Los Angeles, CA 90033-5312
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5900
Phone(323) 442-5900
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2001
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 27, 2024
NPPES CertifiedOctober 27, 2024
✔ NPI 1740338763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A95702
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License A95702 (CA)
1520 SAN PABLO ST STE 1300, Los Angeles, CA 90033
Open in Google Maps ↗

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

Kimberly Brungardt Tilley 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 ID840348439
PECOS Enrollment IDI20090508000569
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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. OLYMPIA ALEXANDRA KABOBEL D.O. M.P.H
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
ROMINA SIFUENTES PALOMINO M.D.
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
PATTY P. PINANONG MD
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
WEI HSUAN WANG MD
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
MITCHELL VEITH MD
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
DR. LILY RYZHKOVA M.D.
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
JESSLYN GONZALEZ MD
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (800) 872-2273
RONALD PAUL OLSON MD
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900

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 Tilley's NPI number?

The NPI number for Kimberly Tilley is 1740338763. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Kimberly Tilley located?

Kimberly Tilley practices at 1520 San Pablo St Ste 1300, Los Angeles, CA 90033. The listed phone number is (323) 442-5900.

What is Kimberly Tilley's specialty?

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

Is Kimberly Tilley enrolled in Medicare?

Yes. Kimberly Tilley 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.

When was this NPI record last updated?

The NPPES record for Kimberly Tilley was last updated on October 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.