MARY K KIMBROUGH (MD) – Surgical Critical Care Physician, NPI 1457561706

MARY K KIMBROUGH (MD) is a healthcare provider. based in Little rock, Arkansas. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 202330 (LA). The NPI Number for MARY K KIMBROUGH (MD) is 1457561706

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MARY K KIMBROUGH (MD)
NPI
1457561706
Phone
(501) 686-8000
Address
4301 W MARKHAM ST # 783
Enumeration Date
23 May 2007
Last Update Date
24 February 2020

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
5016868000
Graduation Year
2005 (21 years ago)
PAC ID
4688862022
Group Practice PAC ID
4082528955
Professional Enrollment ID
I20140117001541
Address ID
AR722057101LI4301XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

300 GENERAL SURGERY in AR

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Provider Addresses for MARY K KIMBROUGH (MD)

  • 783, West Markham Street, Little Rock, Pulaski County, Arkansas, 72201, United States

    LITTLE ROCK, AR 722057101

    Phone: (501) 686-8000

    Fax: (501) 526-5148

    Type: Mailing

  • 520, West Markham Street, Little Rock, Pulaski County, Arkansas, 72201, United States

    LITTLE ROCK, AR 722057101

    Phone: (501) 686-6648

    Fax: (501) 686-7280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140117001541IGeneral SurgeryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes5828$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3723$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2424$0
99284Emergency department visit with moderate level of medical decision making1312$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082528955View full group profile
NameSpecialtyState
N E U R O L O G YAR
-AR
Internal MedicineNY
Internal Medicine, NephrologyAR
-AR
-AR
Nurse PractitionerAR
P S Y C H I A T R YAR
-AR
-AR

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Frequently asked questions

What is MARY K KIMBROUGH (MD)'s NPI number?
MARY K KIMBROUGH (MD)'s NPI is 1457561706 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MARY K KIMBROUGH (MD)?
For scheduling context, MARY K KIMBROUGH (MD) is shown as active in the registry.
What area of care is associated with MARY K KIMBROUGH (MD)?
MARY K KIMBROUGH (MD)'s record emphasizes Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MARY K KIMBROUGH (MD)?
Directory geography for MARY K KIMBROUGH (MD) centers on Little Rock, Arkansas.
When was this NPI issued?
Enumeration for MARY K KIMBROUGH (MD) is noted as May 23, 2007 where the registry provides it.

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