Kimberly Elise Portale, D.O.
Obstetrics & Gynecology Physician · O Fallon, IL
Kimberly Elise Portale, D.O. is an obstetrics & gynecology physician with a practice address in O Fallon, Illinois, and NPI 1134482656, issued on Jun 19, 2012. Check the license (Illinois 036169160, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Kimberly Elise Portale
- Credential
- D.O.
- Primary taxonomy
- Obstetrics & Gynecology Physician 207V00000X
- License numbers
- 036169160 IL
20A13356 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1 Saint Elizabeth Blvd, O Fallon, IL 62269
- Phone
- (618) 234-2120
- Enumerated
- Jun 19, 2012
- Record last updated
- Aug 7, 2026
- Medicare enrollment
- Enrolled (PECOS I20240826000509); accepts Medicare assignment
- Medical or professional school
- Kansas City College Of Medicine And Surgery, 2012
- Entity
- Type 1 · individual
8 nearest obstetrics & gynecology physician records → All 2,062 in Illinois → Look up another NPI →
Also registered at 1 Saint Elizabeth Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Caitlin AlonzoNurse Practitioner1083576243
- Justin Baecht, CRNACertified Registered Nurse Anesthetist1801034491
- Leah Baecht, DNP, CRNA, APRNCertified Registered Nurse Anesthetist1275831273
- Gregory Bray-Stanley, MDAnesthesiology Physician1902836679
- Gage Buness, DOFamily Medicine Physician1881449635
- Amanda BurgesenCertified Registered Nurse Anesthetist1568084903
Verify Kimberly Elise Portale in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036169160Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Obhg Illinois SCO Fallon, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kimberly Elise Portale among 2,062 obstetrics & gynecology physician records in Illinois
Kimberly Elise Portale, D.O. is one of 2,062 obstetrics & gynecology physician records with a practice address in Illinois. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 65% of them.
- NPI issued2012 · 65% of these records are older, 33% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2012 · median 2006 among the 1,168 with a school on file
- Record last updated2026 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Obstetrics & Gynecology Physician providers in Illinois
There are 2,062 obstetrics & gynecology physician records in Illinois.
All 2,062 in Illinois → Every provider in O Fallon → Obstetrics & Gynecology Physician nationwide →
The 8 obstetrics & gynecology physician records with the nearest ZIP codes
- Rosel Calong, MDO Fallon, IL 622691730174277
- Kathryn Dominick, DOShiloh, IL 622691437640901
- Christina Dothager, M.D.O Fallon, IL 622691508067596
- Bertram Drury, M.D.Shiloh, IL 622691366822918
- Elizabeth George, M.D.Shiloh, IL 622691689990863
- Kristen GriffinShiloh, IL 622691700270816
- Sekou Kelsey, MDShiloh, IL 622691982661567
- Bethany Kette, MDShiloh, IL 622691225666118
Common questions
What is Kimberly Elise Portale, D.O.'s NPI number?
Kimberly Elise Portale, D.O.'s National Provider Identifier (NPI) is 1134482656, issued on Jun 19, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Kimberly Elise Portale, D.O. located?
The NPPES record lists a practice address at 1 Saint Elizabeth Blvd, O Fallon, IL, 62269. Phone: (618) 234-2120. Providers update this record themselves, so call before visiting.
How can I verify Kimberly Elise Portale, D.O.'s license?
NPPES lists Illinois license number 036169160, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.