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

Kimberly Chipetine, DO

Individual provider Family Medicine Physician · NPI 1922590629

Kimberly Chipetine, DO is a Family Practice in Mesa, Arizona. Qualified in 2018, 8 years ago. Practices with Iora Senior Health LLC, a 125-clinician group and accepts Medicare assignment. Licensed in Arizona and Pennsylvania.

Years since qualifying
8
Licensed in
AZ, PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5110 E Southern Ave Ste 105
Mesa, AZ 85206-2790
Phone: (480) 295-8072
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9191 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence OT018400 (PA)

Record details

NPI number1922590629
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 30, 2018
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Iora Senior Health Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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