ANDREW SCOTT KIMBALL M.D. NPI 1700147873

NPI Information

  • NPI: 1700147873
  • Provider Name: ANDREW SCOTT KIMBALL, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 275 MICHIGAN ST NE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 267-8700

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NPI Details

Andrew Scott Kimball, M.D. is a vascular surgery surgery in Grand Rapids, MI with 13 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Andrew Scott Kimball, M.D. NPI is 1700147873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2012

The provider's business location address is:

275 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503-531
Phone: (616) 267-8700
Fax: (616) 267-8247

The NPI 1700147873 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Ultrasound of one side of head and neck blood flow (HCPCS:93882)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/5/2012 and was last updated on 1/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery4301100257MICHIGANNo
22086S0129XSurgeryVascular Surgery4301100257MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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