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

Dr. Kimberly Russo Dittler, MD

Individual provider Emergency Medicine Physician · NPI 1033136650

Dr. Kimberly Russo Dittler, MD is an Emergency Medicine in Boston, Massachusetts. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2002, 24 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group and accepts Medicare assignment. Licensed in Georgia, Illinois and Massachusetts.

Years since qualifying
24
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
GA, IL, MA
In the registry since
2006
Specialties on file
3
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

1153 Centre St
Boston, MA 02130-3446
Phone: (617) 983-7700
Fax: (617) 983-7724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 236721 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 054658 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-113760 (IL)

Record details

NPI number1033136650
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESMarch 29, 2011

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2002 (24 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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