Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184338550 Individual Practitioner Male Practitioner

Koby Kimball , PA-C

Physician Assistant • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Koby Kimball, PA-C is a certified Physician Assistant practicing in Springfield, IL. With approximately 1 years of clinical experience since completing medical education in 2025, Koby Kimball delivers high-quality medical care to the local community at 619 E MASON ST.

Koby Kimball is affiliated with Prairie Cardiovascular Consultants Ltd and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

619 E Mason St

Springfield, IL 627011034

Telephone 2177880706
Fax 2175252535
Associated Practice Facility / Clinic
🏢 Scan American Springfield Llc Facility NPI 1376505495

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -10.9 yrs vs City Avg
City Avg: 11.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Springfield, IL (4958 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kimball (1 Years) 1 Yrs
Springfield Specialty Average (11.9 Years) 11.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Prairie Cardiovascular Consultants Ltd

619 E Mason St, Springfield, IL 627011034

Phone: 2177880706

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043391766

Doctor of Medicine (M.D.)

Rex Rizaldo , APRN

Nurse Practitioner - Critical Care Medicine

NPI 1053022202

Advanced Practice Registered Nurse

Dr. Madhu Dukkipati , MD

Internal Medicine - Interventional Cardiology

NPI 1063436715

Doctor of Medicine (M.D.)

Dr. Aman Khurana , MD

Internal Medicine

NPI 1073568259

Doctor of Medicine (M.D.)

Dr. George Eigbire , MD

Internal Medicine - Interventional Cardiology

NPI 1093165367

Doctor of Medicine (M.D.)

Dr. Shailesh Nandish , MD

Internal Medicine - Interventional Cardiology

NPI 1134104144

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 03, 2025

Registered at 619 E MASON ST, SPRINGFIELD, IL 627011034 (Tel: 2177880706)

📍
Updated Business Mailing Address September 03, 2025

Registered at 619 E MASON ST, SPRINGFIELD, IL 627011034 (Tel: 2177880706)

👤
Provider Name / Credentials Updated September 03, 2025

Recorded as KOBY KIMBALL, PA-C

NPI Profile Active January 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2023

Registered at 420 CLIPPER RD, SPRINGFIELD, IL 627118010 (Tel: 3607138586)

📍
Updated Business Mailing Address January 10, 2023

Registered at 420 CLIPPER RD, SPRINGFIELD, IL 627118010 (Tel: 3607138586)

👤
Provider Name / Credentials Updated January 10, 2023

Recorded as KOBY KIMBALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 10, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184338550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2023
Last Update: September 16, 2025
Sole Proprietor: Yes

Mailing Address

619 E Mason St

Springfield, IL 627011034

Phone: 2177880706

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.