John Kimball · 3400 Wake Forest Rd, Raleigh, NC 27609-7317 · Physician Assistant · Duke University Health System Inc (2024)

Medicare Doctors and Clinicians

9199543965 · Physician Assistant · 3400 Wake Forest Rd, Raleigh, NC 27609-7317

Overview

John Kimball is a physician assistant enrolled with Centers for Medicare & Medicaid Services (CMS).The organization name is DUKE UNIVERSITY HEALTH SYSTEM INC.The business address is 3400 Wake Forest Rd, Raleigh, NC 27609-7317.Published on October 25, 2021.

Enrollment Information

NPI1083382634 Nation Provider Identifier (NPI)
National Plan and Provider Enumeration System (NPPES)
PAC ID0042608036 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment IDI20211025001086
Full NameJOHN KIMBALL
GenderM
Medical SchoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2021
Primary SpecialtyPHYSICIAN ASSISTANT
Organization Legal NameDUKE UNIVERSITY HEALTH SYSTEM INC
Group Practice PAC ID2567372345
Number of Group Practice Members858
Address3400 Wake Forest Rd
Raleigh
NC 27609-7317
Telephone9199543965
Professional Accepts Medicare AssignmentY - Accepts Medicare approved amount as payment in full
Group Accepts Medicare AssignmentY - Accepts Medicare approved amount as payment in full

Provider Overview

NPI1083382634 Nation Provider Identifier (NPI)
National Plan and Provider Enumeration System (NPPES)
Provider NameJOHN KIMBALL
Address381 Ruin Creek Rd
Henderson
NC 27536-2932
Taxonomy Code363A00000X
Enumeration Date2021-08-31

Organization Information

Organization Legal NameDUKE UNIVERSITY HEALTH SYSTEM INC
Address3400 Wake Forest Rd
Raleigh
NC 27609-7317
Telephone9199543965
Medical SchoolDUKE UNIVERSITY SCHOOL OF MEDICINE

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Jordan Christopher WaitePhysical TherapyDuke University Health System Inc3475 Erwin Rd, Durham, NC 27705-0005
Lillian Grace ScottPhysical TherapyDuke University Health System Inc401 Irving Pkwy, Holly Springs, NC 27540-9142
Marino Joseph BucciPhysical TherapyDuke University Health System Inc100 Duke Health Cary Pl, Suite 130, Cary, NC 27519-6760
Jordan Alan MaynardCertified Registered Nurse Anesthetist (Crna)Duke University Health System Inc2301 Erwin Rd, Durham, NC 27705-4699
Jose Alejandro RaezOccupational TherapyDuke University Health System Inc3000 Erwin Rd, Durham, NC 27705-4599
Kimberly Sue ReynoldsOccupational TherapyDuke University Health System Inc501 Douglas St, Durham, NC 27705-3888
Tess S JohnNurse PractitionerDuke University Health System Inc1400 Morreene Rd, Durham, NC 27705-4511
Kimberly Dawn SlawsonNurse PractitionerDuke University Health System Inc4101 Macon Pond Rd, Raleigh, NC 27607-6319
Mariam BaigInternal MedicineDuke University Health System Inc3643 N Roxboro Rd, Durham, NC 27704-2702
Rosalinda C CanizaresPhysical TherapyDuke University Health System Inc305 Towerview Dr, Durham, NC 27708-9979
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Doctors with the same school

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Chioma UdemgbaAllergy/ImmunologyCommunity Medicine Associates2121 Sw 36th St, San Antonio, TX 78237-3360
Brian ChristiePlastic and Reconstructive SurgeryOrthopedic and Spine Centers of Wisconsin Sc2501 W Beltline Hwy, Suite 601, Madison, WI 53713-2309
Angelica ShihPhysician AssistantOne Medical Group Inc110 Sutter St, Suite 6, San Francisco, CA 94104-4020
Geoffrey Harry BunckePlastic and Reconstructive SurgeryDel Rio Foot Clinic Pa94 Briggs St, Suite 600, San Antonio, TX 78224-1272
David DeatonGeneral SurgeryTinsley Surgical Pa1717 Shipyard Blvd, Suite 200, Wilmington, NC 28403-8019
Penny Jo Hamilton-GaertnerEmergency MedicinePrisma Health Medical Group-Midlands14 Richland Medical Park Dr, Suite 350, Columbia, SC 29203-6896
Melody Michelle WooPhysician AssistantBocacare Inc1001 Nw 13th St, Boca Raton, FL 33486-2269
Christopher M YoungObstetrics/GynecologyPediatrix Medical Group of The Mid-Atlantic PC24440 Stone Springs Blvd, Dulles, VA 20166-2247
Christopher Dodard CalixteDiagnostic Radiology132 S 10th St, Philadelphia, PA 19107-5244
Joshua AllenPhysical TherapyColorado Pain Practice PLLC4348 Woodlands Blvd, Suite 100, Castle Rock, CO 80114-2815
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Location Information

Street Address3400 WAKE FOREST RD
CityRALEIGH
StateNC
Zip Code27609-7317

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Neha KayasthaHospice/Palliative CareDuke University Health System Inc3400 Wake Forest Rd, Raleigh, NC 27609-7317
Martus Zheng Quan GnUrologyDuke Health Integrated Practice Inc3400 Wake Forest Rd, Suite 310, Raleigh, NC 27609-7317
Blair Noel CostinAnesthesiologyDuke Health Integrated Practice Inc3400 Wake Forest Rd, Suite 310, Raleigh, NC 27609-7317
Antone Mcferrin NicholsEmergency MedicineDuke University Health System Inc3400 Wake Forest Rd, Raleigh, NC 27609-7317
Collin Elizabeth BurksGeriatric MedicineDuke Health Integrated Practice Inc3400 Wake Forest Rd, Suite 310, Raleigh, NC 27609-7317
Jay Soong-Jin LeeSurgical OncologyDuke Health Integrated Practice Inc3400 Wake Forest Rd, Suite 310, Raleigh, NC 27609-7317
Dhanveer SinghInternal MedicineDuke University Health System Inc3400 Wake Forest Rd, Raleigh, NC 27609-7317
Savannah Jane SamuelCertified Registered Nurse Anesthetist (Crna)Duke University Health System Inc3400 Wake Forest Rd, Raleigh, NC 27609-7317
Rani BansalInternal MedicineDuke Health Integrated Practice Inc3400 Wake Forest Rd, Suite 310, Raleigh, NC 27609-7317
Rebecca Suzanne FrazierNephrologyDuke Health Integrated Practice Inc3400 Wake Forest Rd, Suite 310, Raleigh, NC 27609-7317
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Dierdra Oretade BranchClinical Social WorkerIntrospection Counseling Center LLC4030 Wake Forest Rd, Suite 349, Raleigh, NC 27609-0010
Ofelia C BaltaInternal Medicine4030 Wake Forest Rd, Suite 349, Raleigh, NC 27609-0010
Tonya McneelyNurse PractitionerElite Patient Care,Pllc4505 Falls of Neuse Rd, Suite 650, Raleigh, NC 27609-2523
Jatinder Jit KaurNurse PractitionerNorth Carolina Palliative Services PCRaleigh, NC 27609
Kaye B RoseNurse PractitionerElite Patient Care PLLC4505 Falls of Neuse Rd, Suite 650, Raleigh, NC 27609-2523
Stephanie BellNurse PractitionerElite Patient Care,Pllc4505 Falls of Neuse Rd, Suite 650, Raleigh, NC 27609-2523
Mikira PatelNurse PractitionerNorth Carolina Palliative Services PCRaleigh, NC 27609
Charlotte Lee RoweNurse PractitionerNorth Carolina Palliative Services PCRaleigh, NC 27609
Wilson NiceQualified Speech Language Pathologist4030 Wake Forest Rd, Suite 349, Raleigh, NC 27609-0010
Henry M VanpalaNurse PractitionerNorth Hills Internal and Integrative Medicine, Pa1631 Midtown Pl, Suite 101, Raleigh, NC 27609-1300
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Similar Physicians

Doctors with similar names

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
John A KimballCertified Registered Nurse Anesthetist (Crna)John Kimball Anesthesia LLC104 7th St, Bay City, TX 77414-4853
Lisa M KimballFamily PracticeEdward W Sparrow Hospital Association2909 E Grand River Ave, Lansing, MI 48912-4335
Laura E KimballClinical Social WorkerInterborough Developmental and Consultation Center Inc1623 Kings Hwy, Brooklyn, NY 11229-1209
Kimball J SargentCertified Clinical Nurse Specialist (Cns)7155 Sunset Lake Rd, Fuquay Varina, NC 27526-8638
Margaret R KimballClinical Social Worker32 Linwood Rd, Freeport, ME 04032-1132
Marina KimballChiropracticBegin Within Family Chiropractic700 S Main Ave, Suite 4, Platte, SD 57369-2140
Jon P KimballOrthopedic SurgeryComprehensive Spine Institute, LLC1988 Gulf To Bay Blvd, Suite 1, Clearwater, FL 33765-3550
Kimball PrattNeurosurgeryScott and White Clinic1605 S 31st St, Baylor Scott and White Center for Dia, Temple, TX 76508-0001
John T KimballCardiovascular Disease (Cardiology)Portercare Adventist Health System950 E Harvard Ave, 660 Porter Primary Care, Denver, CO 80210-7011
Jay W KimballFamily MedicineMeritas Health Corporation6450 N Chatham Ave, Meritas Health Park Plaza, Kansas City, MO 64151-2403

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Dataset Information

This dataset includes over one million physicians and other clinicians currently enrolled in Medicare.The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

SubjectTransparency and Disclosure
JurisdictionFederal
Data ProviderCenters for Medicare & Medicaid Services (CMS)
Sourcedata.cms.gov

Dataset Details

The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare.The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:

  • The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
  • Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
  • Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
  • performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.

This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

John Kimball · 3400 Wake Forest Rd, Raleigh, NC 27609-7317 · Physician Assistant · Duke University Health System Inc (2024)

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