Individual provider Active NPI

Kimberly Elizabeth Idoko, M.D.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1003080896
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A-118232 Issued in CA
Practice address
5900 Balcones Dr # 22815
Austin, TX 78731-4257
Phone
(888) 618-5288
Fax
(888) 618-5288
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35.148856 OH
Neurology Physician 2084N0400X 73600 WI
Neurology Physician 2084N0400X MD61493501 WA
Neurology Physician 2084N0400X 036152650 IL
Neurology Physician 2084N0400X 255780 NY
Neurology Physician 2084N0400X A-118232 CA Primary
Neurology Physician 2084N0400X E-16293 AR
Neurology Physician 2084N0400X 04-43896 KS
Neurology Physician 2084N0400X U9973 TX
Neurology Physician 2084N0400X 24757 NH
Neurology Physician 2084N0400X 2023-02584 NC
Neurology Physician 2084N0400X MD-50869 IA
Neurology Physician 2084N0400X 35386 NE
Neurology Physician 2084N0400X 4301510507 MI

Addresses

Primary practice location

5900 Balcones Dr # 22815
Austin, TX 78731-4257

Mailing address

5900 Balcones Dr # 22815
Austin, TX 78731-4257
Phone (888) 618-5288

Other practice location 1

719 2nd Ave
New York, NY 10016-2707
Phone (888) 618-5288

Other practice location 2

2214 Canterbury Dr Ste 202
Hays, KS 67601-2375
Phone (785) 623-2312

Other practice location 3

1600 W 40th Ave
Pine Bluff, AR 71603-6301
Phone (870) 541-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI, KS, IL, AR, NH, WA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20140605000309 CA Practitioner - Neurology 2769605344 Reassigns benefits to 4 organizations
I20200922003082 WI Practitioner - Neurology 2769605344 Reassigns benefits to 3 organizations
I20201123002437 KS Practitioner - Neurology 2769605344 Reassigns benefits to 2 organizations
I20210927001854 IL Practitioner - Neurology 2769605344 Reassigns benefits to 1 organization
I20230309001710 AR Practitioner - NeurologyPractitioner - Internal Medicine 2769605344 Reassigns benefits to 1 organization
I20231103000768 NH Practitioner - Neurology 2769605344 Reassigns benefits to 1 organization
I20240219003224 WA Practitioner - Neurology 2769605344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson Hospital Association, Inc 80 clinicians
Core Physicians LLC 290 clinicians

Practice addresses (Care Compare)

1600 W 40TH Ave
Pine Bluff, AR 71603-6301
Phone (870) 541-7211

7 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 777-1000

Hospital & facility affiliations

  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A-118232CAMDNeurology Physician
MD-50869IAMDNeurology Physician
04-43896KSMDNeurology Physician
4301510507MIMDNeurology Physician
2023-02584NCMDNeurology Physician
35386NEMDNeurology Physician
24757NHMDNeurology Physician
255780NYMDNeurology Physician
35.148856OHMDNeurology Physician
U9973TXMDNeurology Physician
73600WIMDNeurology Physician

Practice roles (26 of 34)

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated CurrentSince Feb 1, 2024 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Mar 4, 2024 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Mar 4, 2024 Accepting new patients
Core Physicians, LLC CurrentSince Oct 25, 2023 Accepting new patients
Methodist Medical Center of Illinois Neurology CurrentSince Sep 1, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jan 10, 2026 Accepting new patients
Core Physicians LLC CurrentSince Oct 25, 2023 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Hutchinson Regional Medical Center, Inc. Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 15, 2023 Accepting new patients
SCH Professional Corporation Neurology CurrentSince Jul 20, 2023 Accepting new patients
Hays Medical Center, Inc. Neurology CurrentSince May 15, 2025 Accepting new patients
Hutchinson Regional Medical Center, Inc. Neurology CurrentSince Oct 1, 2020 Accepting new patients
Jefferson Hospital Association, Inc Neurology Current Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Feb 1, 2023 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 10, 2026 Accepting new patients
Lester E Cox Medical Centers Neurology CurrentSince Jun 23, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jan 10, 2026 Accepting new patients
Hays Medical Center, Inc CurrentSince May 15, 2025 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Everwell Neuro, PLLC Neurology CurrentSince Dec 8, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince May 15, 2024 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Feb 1, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince May 15, 2024 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations (25 of 28)

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

300 W Valley Blvd
Alhambra, CA 91803
Phone (213) 340-7373

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A1
Peoria, IL 61602

120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158

900 Main St
Ste 250
Peoria, IL 61602

2214 Canterbury Dr
Ste 202
Hays, KS 67601
Phone (785) 261-7672

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000

5 Alumni Dr
Unit 4
Exeter, NH 03833

7 Holland Way
#1
Exeter, NH 03833

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5900 Balcones Dr
#22815
Austin, TX 78731
Phone (888) 618-5288

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • IA HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IA HMO
  • IL PPO Downstate
  • WA PPO C-SNP
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

  • Direct secure messaging: kidoko642506@direct.froedtert.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kidoko522622@direct.bilh.masshiway.net
  • Direct secure messaging: didoko@yourcarecommunity.org

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 33

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1003080896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 22815",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "888-618-5288",
            "fax_number": "888-618-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 22815",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "888-618-5288",
            "fax_number": "888-618-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162707",
            "country_code": "US",
            "telephone_number": "888-618-5288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2214 Canterbury Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012375",
            "country_code": "US",
            "telephone_number": "785-623-2312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W 40th Ave",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716036301",
            "country_code": "US",
            "telephone_number": "870-541-7211",
            "fax_number": "870-541-4297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDOKO",
        "first_name": "KIMBERLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.148856",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "73600",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61493501",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036152650",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "255780",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A-118232",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-16293",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-43896",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U9973",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "24757",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2023-02584",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "MD-50869",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "35386",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301510507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.