DR. INDHIRA BISONO JIMENEZ (MD) – Rheumatology Physician, NPI 1003162546

DR. INDHIRA BISONO JIMENEZ (MD) is a healthcare provider. based in London, Kentucky. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. ME137181 (FL). The NPI Number for DR. INDHIRA BISONO JIMENEZ (MD) is 1003162546

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. INDHIRA BISONO JIMENEZ (MD)
NPI
1003162546
Phone
(606) 330-7840
Address
PO BOX 936
Enumeration Date
2 August 2012
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504313867
Graduation Year
2011 (15 years ago)
PAC ID
2769703545
Group Practice PAC ID
6103724778
Professional Enrollment ID
I20210602000657
Address ID
FL323110802TA3900XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

102 RHEUMATOLOGY in KY

Provider Addresses for DR. INDHIRA BISONO JIMENEZ (MD)

  • PO BOX 936

    LONDON, KY 407430936

    Phone: (606) 330-7840

    Fax: (606) 330-7825

    Type: Mailing

  • 211 FOUNTAIN CT

    SUITE 220

    LEXINGTON, KY 405092694

    Phone: (859) 629-7265

    Fax: (859) 629-7266

    Type: Location

  • 3900 ESPLANADE WAY

    TALLAHASSEE, FL 323110802

    Phone: (850) 431-3867

    Fax: (850) 431-7384

    Type: Location

  • 1607 SAINT JAMES CT STE 1

    TALLAHASSEE, FL 323085352

    Phone: (850) 431-7021

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $821.

Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($304).

Total Amount

$821

General + Research + Ownership

Payments

28

Total payment records

General Amount

$821

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-02

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
I20210602000657IRheumatologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10770$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7012$0
99204New patient office or other outpatient visit, 45-59 minutes5959$0
73130X-ray of hand, minimum of 3 views5428$0
73630X-ray of foot, minimum of 3 views3820$0
View full utilization report →

Insurance plans in this area (ZIP 40743)

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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: 6103724778View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineFL
Physician AssistantFL
E N D O C R I N O L O G YMN
-FL
Internal MedicineFL
-IA
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerOH
-FL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. INDHIRA BISONO JIMENEZ (MD)?
NPI 1003162546 is assigned to DR. INDHIRA BISONO JIMENEZ (MD) under the national enumeration system.
Is DR. INDHIRA BISONO JIMENEZ (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. INDHIRA BISONO JIMENEZ (MD)?
The page reflects Rheumatology Physician for DR. INDHIRA BISONO JIMENEZ (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. INDHIRA BISONO JIMENEZ (MD)?
We surface London, Kentucky for DR. INDHIRA BISONO JIMENEZ (MD) based on available NPPES addresses.
What if London, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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