Shane P Kimball, DO - Medicare Nephrology in Little Rock, AR

Shane P Kimball, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Little Rock, Arkansas. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Renal Consultants and his current practice location is 9601 Baptist Health Dr Ste 400, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 224-2141.

Shane P Kimball is licensed to practice in Arkansas (license number E3391) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396747606.

Contact Information

Shane P Kimball, DO
9601 Baptist Health Dr Ste 400,
Little Rock, AR 72205-6399
(501) 224-2141
(015) 224-0506

Map and Direction




Physician's Profile

Full NameShane P Kimball
GenderMale
SpecialityNephrology
Experience25 Years
Location9601 Baptist Health Dr Ste 400, Little Rock, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane P Kimball graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1396747606
  • Provider Enumeration Date: 06/01/2005
  • Last Update Date: 05/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9931278728
  • Enrollment ID: I20080520000372

Medical Identifiers

Medical identifiers for Shane P Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396747606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology E3391 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmcna - Little Rock DialysisLittle rock, ARDialysis facility
Fmcna - East Little RockEast little rock, ARDialysis facility
Fmcna - BentonBenton, ARDialysis facility
Fmcna - Stuttgart DialysisStuttgart, ARDialysis facility
Fmcna - Faulkner CountyConway, ARDialysis facility
Baptist Health Medical Center-little RockLittle rock, ARHospital
Saline Memorial HospitalBenton, ARHospital
Baptist Health Medical Center- ConwayConway, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Renal Consultants49817720275

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shane P Kimball allows following entities to bill medicare on his behalf.
Entity NameRenal Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215999156
PECOS PAC ID: 4981772027
Enrollment ID: O20100804000019

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane P Kimball is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shane P Kimball, DO
9601 Baptist Health Dr Ste 400,
Little Rock, AR 72205-6399

Ph: (501) 224-2141
Shane P Kimball, DO
9601 Baptist Health Dr Ste 400,
Little Rock, AR 72205-6399

Ph: (501) 224-2141

Reviews and Comments


Internal Medicine Doctors in Little Rock, AR

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Tanvi Harishbhai Patel, MD
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Gaurav Dhar, MD
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Anthony R Giglia Iii, MD
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Phone: 501-661-9393    Fax: 501-663-4795
Brian Bean, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: #2 St Vincent Circle, Little Rock, AR 72205
Phone: 501-552-3592    Fax: 501-552-4129

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.