Individual provider Active NPI

Kami Bales, PA

  • Surgical Physician Assistant
  • Denton, TX
National Provider Identifier
1194193342
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA10163 Issued in TX
Practice address
2900 N Interstate 35 Ste 300
Denton, TX 76201-5146
Phone
(940) 323-3480
Fax
(940) 323-3481
NPI assigned
Sep 4, 2015
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA10163 TX Primary

Addresses

Primary practice location

2900 N Interstate 35 Ste 300
Denton, TX 76201-5146

Mailing address

2900 N Interstate 35 Ste 300
Denton, TX 76201-5146
Phone (940) 323-3480

Other names 1

  • Kami Ko Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kko702581@Direct.TexasHealth.org Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008001019 TX Practitioner - Physician Assistant 1850609041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2900 N I
35 Suite 300
Denton, TX 76201-5146
Phone (940) 323-3480

2900 N Interstate 35
Suite 301
Denton, TX 76201-5146
Phone (940) 323-3426

3000 N Interstate 35
Denton, TX 76201-5119
Phone (940) 898-7000

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

6100 Harris Pkwy
Ft Worth, TX 76132-4101
Phone (817) 433-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10163TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 1, 2015 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2015 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2900 N Interstate 35
Ste 300
Denton, TX 76201
Phone (940) 323-3480

Interoperability endpoints

  • Direct secure messaging: kko702581@direct.texashealth.org

Organizations & group practices 2

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 1

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": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1194193342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N INTERSTATE 35 STE 300",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015146",
            "telephone_number": "940-323-3480",
            "fax_number": "940-323-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N INTERSTATE 35 STE 300",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015146",
            "telephone_number": "940-323-3480",
            "fax_number": "940-323-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "KAMI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kko702581@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2900 N Interstate 35 Ste 300",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762015146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAMI",
            "last_name": "KO",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.