DR. KIMBALL A PRENTISS MD
NPI 1972555670
Pediatrics - Pediatric Emergency Medicine in Springfield, MA

Q: What is Kimball Prentiss's NPI number?

The NPI number for Kimball Prentiss is 1972555670. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Kimball Prentiss's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Kimball Prentiss was last updated on March 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 17, 2006PECOS Enrolled

759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-3233(413) 794-9060 Get Directions Write a Review

NPPES record last updated: March 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kimball A Prentiss Md NPPES

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

DR. KIMBALL A PRENTISS MD (NPI 1972555670) is an individual pediatric emergency medicine provider in Springfield, Massachusetts, licensed in Massachusetts (224057) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972555670

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. KIMBALL A PRENTISSCredential: MD

Location Address759 CHESTNUT STSpringfield, MA 01199-1619

Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1619 · (413) 794-5700

Phone(413) 794-3233

Fax(413) 794-9060

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateMarch 21, 2015

✔ NPI 1972555670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in MA · 224057

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 224057 (MA)

759 CHESTNUT ST, Springfield, MA 01199

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Other Identifiers 2

Medicaid110041041AMA

Medicare PINA3863801MA

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. Kimball A Prentiss 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.

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.

DENNIS ZAMBRANO

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

CHARLES E BROWN

Nurse Anesthetist, Certified Registered

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-3520

RAISA KHAN

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

VICTORIA YOUNES

Student in an Organized Health Care Education/Training Program

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (418) 794-0000

MR. ROBERT J RUSSELL PCNS

Clinical Nurse Specialist (Psychiatric/Mental Health)

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-3376

DR. BENJAMIN J BARNES MD

Psychiatry & Neurology (Neurology)

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-4440

BAYSTATE MEDICAL CENTER INC

Pharmacy (Community/Retail Pharmacy)

759 CHESTNUT ST, DALY 3 PHARMACY
SPRINGFIELD, MA 01199

Hampden County (413) 794-3291

JEFFREY WALBRIDGE DO

Pediatrics

759 CHESTNUT ST
SPRINGFIELD, MA 01199

Hampden County (413) 794-0000

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 Kimball Prentiss's NPI number?

The NPI number for Kimball Prentiss is 1972555670. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Kimball Prentiss located?

Kimball Prentiss practices at 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-3233.

What is Kimball Prentiss's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kimball Prentiss enrolled in Medicare?

Yes. Kimball Prentiss is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimball Prentiss was last updated on March 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.