Look up the most recent NPI and PECOS records

Kimberly Ann Kilby

Family Medicine

Allopathic & Osteopathic Physicians

632 Broadway Ph, New York, NY 10012-2614

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLY KILBY.

Based on the most recent information from CMS, provider Kimberly Ann Kilby is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1255497707
Provider Type
Individual
Full Name
Kilby, Kimberly Ann
Title
Dr.
Credential
MD, MPH

Gender
Female
Sole Proprietor
No
Enumeration Date
12/29/2006
Last Updated
9/7/2023

Contact Information

Practice Location

632 Broadway Ph, New York, NY 10012-2614

(347) 943-8131

Unlisted Fax

Mailing Location

632 Broadway Ph, New York, NY 10012-2614

(347) 943-8131

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 238750 New York
Code 2083P0901X	Description Preventive Medicine Allopathic & Osteopathic Physicians	License 238750 New York

Provider Identifiers

ID	Description	Issuer
ID 02911484	Description Medicaid	Issuer Unlisted New York

Kimberly Ann Kilby

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Shah, Nayan R.

Jarrell, Todd M

Haq, Afnan Saiful

Beeper Medical Group New Jersey Pc

Petersen, Anne K.

Beeper Medical Group Washington, P.C.

Galileo Medical Group, Tx Pa

Galileo Medical Group Me, Pc

Bueno, Angeli

Galileo Medical Group Ca Pc