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

Phillip R Kingma, MD

Individual provider Interventional Pain Medicine Physician · NPI 1629038419

Phillip R Kingma, MD is an Interventional Pain Management in Carmel, Indiana. Graduated from University of Cincinnati College of Medicine in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
35
Trained at
University of Cincinnati College of Medicine
Licensed in
IN
In the registry since
2006
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

12289 Hancock St Ste 34
Carmel, IN 46032-5888
Phone: (317) 815-8950
Fax: (317) 815-8951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 01040487 (IN)

Record details

NPI number1629038419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2006
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022
Mailing address12289 Hancock St Ste 34, Carmel, IN 46032-5888

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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