IndividualActive
Samuel Kimmell, DO
NPI 1366071375 · Physical Medicine & Rehabilitation Physician · South Bend, IN
Provider details
- NPI number
- 1366071375
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02008135A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone: (574) 247-9441
Street-level locationGet directions
Mailing address
3600 W Bethel Ave
Muncie, IN 47304-5407
Additional practice locations (3)
- 303 S Nappanee St Ste FElkhart, IN 46514-2066Phone: (574) 247-9441
- 60160 Bodnar BlvdMishawaka, IN 46544-9338Phone: (574) 247-9441
- 2349 Lake Ave Ste 201Plymouth, IN 46563-7837Phone: (574) 247-9441
Registry dates
- Enumerated
- 2020-04-02
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.