Kimberly Elise Portale, D.O.
NPI 1134482656ActiveIndividual· Obstetrics & Gynecology· O Fallon, IL
Obstetrics & Gynecology (D.O.) in O Fallon, Illinois, trained at Kansas City College of Medicine and Surgery (class of 2012). Enrolled in Medicare as practitioner - obstetrics/gynecology.
Overview
| NPI | 1134482656 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 19, 2012 |
| Last updated in NPPES | Aug 7, 2026 |
| Certified by provider | Aug 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | 20A13356 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Obstetrics & Gynecology | 207V00000X | 036169160 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (IL) |
|---|
Education and affiliations
| Medical school | Kansas City College of Medicine and Surgery |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Obstetrics/Gynecology |
Medical group
- Obhg Illinois SCCarbondale, IL · 25 clinicians
Hospital affiliation
- Hshs St Elizabeth's HospitalO Fallon, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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