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

Dr. Kimberly Elise Portale, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134482656

Dr. Kimberly Elise Portale, DO is an Obstetrics/Gynecology in O Fallon, Illinois. Graduated from Kansas City College of Medicine and Surgery in 2012, 14 years ago. Practices with Obhg Illinois SC, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
14
Trained at
Kansas City College of Medicine and Surgery
Licensed in
CA, IL
In the registry since
2012
Specialties on file
3
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

O Fallon, IL

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 310 W Losey St, Scott Afb, IL 62225-5250 — (618) 256-7018
  • 701 N 1st St, Springfield, IL 62781-0001 — (217) 528-7541

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 20A13356 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 036169160 (IL)

Record details

NPI number1134482656
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 19, 2012
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 2012 (14 years in practice)
Group practice Obhg Illinois Sc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in O Fallon