Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly L Jackson, MD

Individual provider Pediatrics Physician · NPI 1518129097

Dr. Kimberly L Jackson, MD is a Pediatric Medicine in Buffalo, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2005, 21 years ago. Practices with Kaleida Health, a 214-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

818 Ellicott St
Buffalo, NY 14203-1021
Phone: (716) 323-2000
Fax: (716) 323-0292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1540 Maple Rd, Williamsville, NY 14221-3647 — (716) 568-3600

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 248351 (NY)

Record details

NPI number1518129097
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Kaleida Health — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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