DR. SAMUEL W KIMANI (MD) – Pulmonary Disease Physician, NPI 1053576496
Pulmonary Disease Physician
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NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
Provider Addresses for DR. SAMUEL W KIMANI (MD)
Premier Healthcare Same Day Appointment / Walk In Clinic, 550, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474033239
Phone: (812) 331-3400
Fax: (812) 332-7265
Type: Mailing
1001 W 10th St
west bldg M200
Indianapolis, IN 462022859
Phone: (317) 656-4260
Type: Location
11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 468450025
Phone: (260) 266-7856
Fax: (260) 266-5279
Type: Location
3943 E FENBROOK LN
BLOOMINGTON, IN 474017739
Phone: (812) 345-8890
Type: Mailing
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: 2026-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190411002547 | I | Pulmonary Disease | IN | TBD |
| I20221215000809 | I | Internal Medicine | MO | TBD |
| I20240222003685 | I | Internal Medicine | KY | TBD |
| I20260228000931 | I | Internal Medicine | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 91 | 53 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 26 | 25 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25 | 20 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 | 19 | $0 |
Insurance plans in this area (ZIP 47403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IN | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 17 | 15 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | MO | |
| Physician Assistant | IL | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Vascular Surgery | ID | |
| - | MO | |
| Orthopedic Surgery | KS | |
| N E U R O L O G Y | MO | |
| - | MO | |
| - | MO |
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