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DR. KIMBERLY DEREZIL M.D.
NPI 1841561198
Family Medicine in Allentown, PA

Active since January 18, 2012PECOS Enrolled
1702 W ALLEN ST, ALLENTOWN, PA 18104(484) 393-5883(610) 601-4749 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Aug 21, 2022, Aug 24, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Kimberly Derezil M.d. NPPES

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

DR. KIMBERLY DEREZIL M.D. (NPI 1841561198) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD452662) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841561198
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY DEREZILCredential: M.D.
Location Address1702 W ALLEN STAllentown, PA 18104-5023
Mailing Address1702 W Allen StAllentown, PA 18104-5023 · (484) 393-5883 · Fax (610) 601-4749
Phone(484) 393-5883
Fax(610) 601-4749
Sole ProprietorNo
Enumeration DateJanuary 18, 2012
Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1841561198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD452662
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1702 W ALLEN ST, Allentown, PA 18104
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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)

Dr. Kimberly Derezil M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 Kimberly Derezil's NPI number?

The NPI number for Kimberly Derezil is 1841561198. It was assigned to this individual provider in the NPPES registry on January 18, 2012.

Where is Kimberly Derezil located?

Kimberly Derezil practices at 1702 W Allen St, Allentown, PA 18104. The listed phone number is (484) 393-5883.

What is Kimberly Derezil's specialty?

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

Is Kimberly Derezil enrolled in Medicare?

Yes. Kimberly Derezil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Derezil was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.