DR. KIMBALL A PRENTISS MD
NPI 1972555670
Pediatrics - Pediatric Emergency Medicine in Springfield, MA
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
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kimball A Prentiss Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kimball Prentiss reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MA 01199
- Reassigned Medicare billing, Massachusetts enrollment
- 1,537 clinicians in this Medicare group
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 195 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SPRINGFIELD, MA 01199
SPRINGFIELD, MA 01199
SPRINGFIELD, MA 01199
SPRINGFIELD, MA 01199
SPRINGFIELD, MA 01199
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.
Which organizations bill Medicare for Kimball Prentiss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimball Prentiss reassigns Medicare benefits to 2 organizations: Baystate Medical Practices, Inc (Springfield, MA) and Child Health Foundation Of Boston, Inc. (Boston, MA). 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 Kimball Prentiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Kimball A Prentiss, MD · NPI 1972555670
Pediatric Emergency Medicine physician in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1972555670 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 224057 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 759 CHESTNUT ST, Springfield, MA 01199-1619
- **Phone:** (413) 794-3233 · **Fax:** (413) 794-9060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Baystate Medical Practices, Inc (NPI 1548205909, Springfield, MA); Child Health Foundation Of Boston, Inc. (NPI 1619969920, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2015
- **Other identifiers:** Medicaid 110041041A (MA); Medicare PIN A3863801 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1972555670) · Data from the CMS NPPES public registry.