Kimberly Diane Matthews, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

04-32836 Issued in KS

Practice address

9119 W 74TH St
Ste 300
Shawnee Mission, KS 66204-2236

Phone

(913) 677-3113

Fax

(913) 677-4514

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Obstetrics/Gynecology

Education

University of Missouri, Columbia School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Physician Services LLCGroup PAC ID 1658500962, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Mid America Physician Services

  • Obstetrics & Gynecology Physician
  • Shawnee Mission, KS
  • NPI 1952734741

  KS, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Womens Care

  • Obstetrics & Gynecology Physician
  • Shawnee Mission, KS
  • NPI 1669478517

  Obstetrics & Gynecology

  NPD (past)
• Cabot Westside Health Center

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1104879055

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1003843327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "STE 300",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042236",
            "telephone_number": "913-677-3113",
            "fax_number": "913-677-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "STE 300",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042236",
            "telephone_number": "913-677-3113",
            "fax_number": "913-677-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-32836",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2007006298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200452860B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS0974",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KC",
            "identifier": "39117034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Martin, OTR
• Julie A Martin, M.D.
• Ana M Martinez, M.D.
• Diann Mather
• Darci M Mathison, A.R.N.P.
• Melissa Amber Matzek, APRN
• Mayor Heart & Lung Surgery of Kansas, LLC
• Jasmine McClendon, CRNA
• Christian L McClish, MSCP, LCP
• Barbara Anne McGrath, M.D.

• Obstetrics & Gynecology Physician in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.