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

KIM ALMODOVAR MD
NPI 1831160316
Internal Medicine - Gastroenterology in Rochester Hills, MI

Q: What is Kim Almodovar's NPI number?

The NPI number for Kim Almodovar is 1831160316. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Q: What is Kim Almodovar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Kim Almodovar was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment

1460 WALTON BLVD STE 209, ROCHESTER HILLS, MI 48309(248) 656-4225(248) 656-4250 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2026, May 1, 2026, Aug 5, 2025 and 2 more (5 updates tracked since 2021).

On this page

About Kim Almodovar Md NPPES

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

KIM ALMODOVAR MD (NPI 1831160316) is an individual gastroenterology provider in Rochester Hills, Michigan, licensed in Tennessee (65385) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1831160316

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameKIM ALMODOVARCredential: MD

Location Address1460 WALTON BLVD STE 209Rochester Hills, MI 48309-1779

Mailing Address1460 Walton Blvd Ste 209Rochester Hills, MI 48309-1779 · (248) 656-4225 · Fax (248) 656-4250

Phone(248) 656-4225

Fax(248) 656-4250

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateJanuary 31, 2006

Last NPPES UpdateSeptember 15, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1831160316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TN · 65385✔ Licensed in OR · MD228049✔ Licensed in AZ · 63580✔ Licensed in MI · 4301053408✔ Licensed in WI · 1082

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 65385 (TN)

1460 WALTON BLVD STE 209, Rochester Hills, MI 48309

Open in Google Maps ↗

Secondary Practice Locations 4

Location 13377 Riverbend DrSpringfield, OR 97477-8803 · Phone (541) 222-6389

Location 23901 S Fremont Ave Fl 4Springfield, MO 65804-6538 · Phone (417) 269-3000

Location 3130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000 · Fax (423) 224-4000

Location 41 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121

Other Identifiers 2

Other0Q26284MI · Bcbsm

Medicaid4149444MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Almodovar 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 ID7618031782

PECOS Enrollment IDI20090204000492, I20220613000793, I20260504006847, I20260512002434

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 Reassignments

Medicare enrollment records show Kim Almodovar reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kim M Almodovar MD Plc

Same address

Gastroenterology

1460 WALTON BLVD, SUITE 209
Rochester Hills, MI 48309

Reassigned Medicare billing, Michigan enrollment

NPI 1548399652 (248) 656-4225

Gundersen Lutheran Medical Center Inc

242 mi

Clinic/Center

7238 N BARNETT LN
Fox Point, WI 53217

Reassigned Medicare billing, Wisconsin enrollment
1,457 clinicians in this Medicare group

NPI 1053090456 (608) 782-7300

Wellmont Medical Associates, Inc.

396 mi

Internal Medicine

601 COMMONWEALTH DR
Norton, VA 24273

Reassigned Medicare billing, Tennessee enrollment
861 clinicians in this Medicare group

NPI 1003274994 (276) 679-6028

Eastern Maine Medical Center

735 mi

General Acute Care Hospital

489 STATE ST
Bangor, ME 04401

Reassigned Medicare billing, Maine enrollment
788 clinicians in this Medicare group

NPI 1790789147 (207) 973-7000

Billings Clinic

1,144 mi

Family Medicine

620 S HAYNES AVE
Miles City, MT 59301

Reassigned Medicare billing, Montana enrollment
1,264 clinicians in this Medicare group

NPI 1427194836 (406) 233-7000

Scl Health Medical Group - Billings, LLC

1,270 mi

General Practice

32 WICKS LN
Billings, MT 59105

Reassigned Medicare billing, Montana enrollment
438 clinicians in this Medicare group

NPI 1447866538 (406) 237-8400

Peacehealth

1,990 mi

Hospitalist

3377 RIVERBEND DR
Springfield, OR 97477

Reassigned Medicare billing, Oregon enrollment
278 clinicians in this Medicare group

NPI 1740223874 (541) 335-2700

Peacehealth Medical Group

1,990 mi

Birthing

353 DEADMOND FERRY RD
Springfield, OR 97477

Reassigned Medicare billing, Oregon enrollment
412 clinicians in this Medicare group

NPI 1881860856 (541) 222-7750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

138 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

87 services58 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

71 services67 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

64 services64 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

36 services25 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

26 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services22 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

22 services22 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

21 services19 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

21 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services19 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200033

Location489 State StreetBangor, ME 04401 · Penobscot County

Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230254

Location1101 W University DriveRochester, MI 48307 · Oakland County

Emergency services Birthing friendly

St Vincent Healthcare

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270049

Location1233 N 30th StBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380102

Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48309 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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 Kim Almodovar's NPI number?

The NPI number for Kim Almodovar is 1831160316. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Kim Almodovar located?

Kim Almodovar practices at 1460 Walton Blvd Ste 209, Rochester Hills, MI 48309. The listed phone number is (248) 656-4225.

What is Kim Almodovar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kim Almodovar enrolled in Medicare?

Yes. Kim Almodovar 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.

Which organizations bill Medicare for Kim Almodovar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Almodovar reassigns Medicare benefits to 8 organizations: Kim M Almodovar MD Plc (Rochester Hills, MI), Gundersen Lutheran Medical Center Inc (Fox Point, WI), Wellmont Medical Associates, Inc. (Norton, VA), Eastern Maine Medical Center (Bangor, ME), Billings Clinic (Miles City, MT) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Almodovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Almodovar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 8 other insurers list Kim Almodovar 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.

Is Kim Almodovar affiliated with any hospitals?

According to CMS data, Kim Almodovar is affiliated with Northern Light Eastern Maine Medical Center, Ascension Providence Rochester Hospital, St Vincent Healthcare, Sacred Heart Medical Center - Riverbend and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kim Almodovar was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.