Individual provider Active NPI

Kimberly Charmell Weatherspoon, M.D.

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1164681862
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
S2198 Issued in TX
Practice address
2190 North Loop W Ste 250
Houston, TX 77018-8016
Phone
(281) 231-9667
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D71613 MD
Vascular & Interventional Radiology Physician 2085R0204X S2198 TX Primary

Addresses

Primary practice location

2190 North Loop W Ste 250
Houston, TX 77018-8016

Mailing address

2190 North Loop W Ste 250
Houston, TX 77018-8016
Phone (281) 231-9667

Other practice location 1

533 Bolivar St
New Orleans, LA 70112-1349
Phone (504) 568-4760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180907000255 NY Practitioner - Diagnostic Radiology 7719113562 Reassigns benefits to 5 organizations
I20190726002271 TX Practitioner - Diagnostic Radiology 7719113562 Reassigns benefits to 2 organizations
I20210318000402 DC Practitioner - Diagnostic Radiology 7719113562

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Rose Imaging Specialists PAGroup PAC ID 7517853351, 44 clinicians

Practice addresses (Care Compare)

1508 Cohn St
Houston, TX 77007-3053
Phone (713) 461-3573

414 Milam St
Apt 4402
Houston, TX 77002-2073
Phone (866) 717-2551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D71613MDMDDiagnostic Radiology Physician
S2198TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Rose Imaging Specialists PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Rose Imaging Specialists, P.a. Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging CurrentSince Jul 1, 2018 Accepting new patients
Diagnostic MRI Central LLC Diagnostic Radiology CurrentSince Nov 7, 2020 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Advanced Radiological Imaging-Astoria PC Diagnostic Radiology PastSince Apr 1, 2021 Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

622 W 168th St
#4100
New York, NY 10032
Phone (212) 305-5123

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 304-6309

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

5575 Warren Pkwy
Ste 220
Frisco, TX 75034
Phone (214) 618-3686

1250 8th Ave
Ste 130
Ft Worth, TX 76104
Phone (817) 886-0880

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

6750 N MacArthur Blvd
Ste 153
Irving, TX 75039
Phone (469) 677-3174

10970 Shadow Creek Pkwy
Ste 190
Pearland, TX 77584
Phone (713) 770-7767

6807 Emmett F Lowry Expy
Ste 308
Texas City, TX 77591
Phone (409) 934-8687

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

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

Hospital & facility affiliations 4

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1164681862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NORTH LOOP W STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188016",
            "telephone_number": "281-231-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NORTH LOOP W STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188016",
            "telephone_number": "281-231-9667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 Bolivar St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701121349",
            "country_code": "US",
            "telephone_number": "504-568-4760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERSPOON",
        "first_name": "KIMBERLY",
        "middle_name": "CHARMELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D71613",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "S2198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.