Koby Kimball, PA-C
NPI 1184338550 · Physician Assistant · Springfield, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koby Kimball, PA-C is a Physician Assistant provider in Springfield, IL (NPI 1184338550).
Provider details
- NPI number
- 1184338550
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-10
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Koby Kimball's NPI number?
- Koby Kimball's National Provider Identifier (NPI) is 1184338550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koby Kimball's specialty?
- Koby Kimball is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Koby Kimball located?
- Koby Kimball's practice location on file with NPPES is 619 E Mason St, Springfield, IL 62701-1034.
- What is Koby Kimball's phone number?
- The practice phone number listed in the NPPES registry for Koby Kimball is (217) 788-0706.
- Does Koby Kimball accept Medicare?
- Koby Kimball is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Koby Kimball's NPI active?
- Yes — Koby Kimball's NPI (1184338550) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.