Active NPI
Kerry L. Hincks, DO
- Family Medicine Physician
- Missouri City, TX
National Provider Identifier
1104847458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q7205
- Practice address
- 8810 Highway 6 Ste 100
Missouri City, TX 77459-7104 - Phone
- (713) 486-1200
- Fax
- (281) 778-5345
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125-047892 | IL | |
| Family Medicine Physician | 207Q00000X | Q7205 | TX | Primary |
Addresses
Primary practice location
8810 Highway 6 Ste 100
Missouri City, TX 77459-7104
Mailing address
8810 Highway 6 Ste 100
Missouri City, TX 77459-7104
Phone (713) 486-1200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036116570 | Medicaid | IL | |
| CA4079 | Other | IL | RR GROUP # |
| P00433545 | Other | IL | RR INDIVIDUAL # |
| 809840 | Other | IL | MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8810 Hwy 6
Suite 100
Missouri City, TX 77459-7104
Phone (713) 486-1200
Hospital & facility affiliations
- Memorial Hermann Sugar Land Hospital
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-047892 | IL | MD | Family Medicine Physician |
| Q7205 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians Specialty Services | Family Medicine | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
Interoperability endpoints
- khincks12832@direct.uth.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1801945027
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1104847458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 HIGHWAY 6 STE 100",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774597104",
"telephone_number": "713-486-1200",
"fax_number": "281-778-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8810 HIGHWAY 6 STE 100",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774597104",
"telephone_number": "713-486-1200",
"fax_number": "281-778-5345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINCKS",
"first_name": "KERRY",
"middle_name": "L.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125-047892",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q7205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036116570",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR GROUP #",
"identifier": "CA4079",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR INDIVIDUAL #",
"identifier": "P00433545",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "809840",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.