KIMONA ISSA (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1982019998

KIMONA ISSA (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 52114 (KY). The NPI Number for KIMONA ISSA (MD) is 1982019998

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KIMONA ISSA (MD)
NPI
1982019998
Phone
(502) 584-7525
Address
210 E GRAY ST STE 900
Enumeration Date
27 June 2014
Last Update Date
2 May 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
6077539977
Graduation Year
2011 (15 years ago)
PAC ID
4082942040
Group Practice PAC ID
6002728656
Professional Enrollment ID
I20200729003914
Address ID
NY130451637CO4057XRDXX300

Contacts

Secure Messaging
kimono.issa@direct.lourdes.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

507 ORTHOPEDIC SURGERY in KY

Provider Addresses for KIMONA ISSA (MD)

  • 210 E GRAY ST STE 900

    LOUISVILLE, KY 402023905

    Phone: (502) 584-7525

    Fax: (502) 584-6851

    Type: Location

  • 23 MINNISINK RD

    WAYNE, NJ 074704810

    Phone: (661) 645-8397

    Type: Mailing

  • 65 PENNSYLVANIA AVE

    BINGHAMTON, NY 139031651

    Phone: (607) 798-9356

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $2,468.

Total Amount is formed as General ($2,468) + Research ($0) + Ownership ($0) = $2,468.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Medtronic, Inc. ($1,893).

Total Amount

$2,468

General + Research + Ownership

Payments

22

Total payment records

General Amount

$2,468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190828004270IOrthopedic SurgeryKYTBD
I20200729003914IOrthopedic SurgeryNYTBD

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 minutes268185$0
99213Established patient office or other outpatient visit, 20-29 minutes12592$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
22614Fusion of additional segment of spine2111$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2017$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 6002728656View full group profile
NameSpecialtyState
-NY
Diagnostic RadiologyMO
Diagnostic RadiologyKY
Diagnostic RadiologyMA
Nurse PractitionerPA
-NY
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalPA
Gastroenterology, Internal MedicinePA
-PA

Reviews

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Frequently asked questions

Can I use this page to confirm KIMONA ISSA (MD)'s NPI?
Yes. KIMONA ISSA (MD) is listed with NPI 1982019998 in the public NPI dataset.
Is KIMONA ISSA (MD) still practicing?
KIMONA ISSA (MD) is currently listed as active in the public NPI registry.
What healthcare role does KIMONA ISSA (MD) hold?
Scheduling teams often label KIMONA ISSA (MD) under Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Where is KIMONA ISSA (MD) based?
KIMONA ISSA (MD) is tied to Louisville, Kentucky in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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