NPIMap

Individual provider Active NPI

Kimberly A Bobo, MD

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1194710616
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L4252 Issued in TX
Practice address
6620 Main St
Suite H1300
Houston, TX 77030-2331
Phone
(713) 797-1144
Fax
(832) 825-7779
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L4252 TX Primary

Addresses

Primary practice location

6620 Main St
Suite H1300
Houston, TX 77030-2331

Mailing address

6620 Main St
Suite H1300
Houston, TX 77030-2331
Phone (713) 797-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000759 TX Practitioner - Obstetrics/Gynecology 6002993391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Childrens Physician GroupGroup PAC ID 4385722081, 661 clinicians
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000

929 Gessner Rd
Suite 1300
Houston, TX 77024-2469
Phone (713) 486-6160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4252TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children's Physician Group CurrentSince Jul 1, 2009 Accepting new patients
Texas Children's Hospital Past Accepting new patients
Texas Childrens Womens Specialists Past Accepting new patients

Locations

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Ste F1500
Houston, TX 77030
Phone (504) 797-9677

6624 Fannin St
Ste 1800
Houston, TX 77030
Phone (713) 797-1144

6620 Main St
Ste H1300
Houston, TX 77030
Phone (713) 797-1144

Interoperability endpoints

  • Direct secure messaging: kbobo36248@prddirect.texaschildrens.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1194710616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST",
            "address_2": "SUITE H1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302331",
            "telephone_number": "713-797-1144",
            "fax_number": "832-825-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST",
            "address_2": "SUITE H1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302331",
            "telephone_number": "713-797-1144",
            "fax_number": "832-825-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBO",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L4252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.