Individual provider Active NPI

Kathleen Ann Patton, MD

  • Diagnostic Radiology Physician
  • Waco, TX
National Provider Identifier
1295775765
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M7647 Issued in TX
Practice address
6901 Medical Pkwy
Radiology Department
Waco, TX 76712-7910
Phone
(254) 751-4299
Fax
(903) 663-7394
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M7647 TX Primary

Addresses

Primary practice location

6901 Medical Pkwy
Radiology Department
Waco, TX 76712-7910

Mailing address

3206 4TH St
Longview, TX 75605-5143
Phone (903) 663-7393

Other names 1

  • Kathleen Ann Sorensen Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000571 TX Practitioner - Diagnostic Radiology 9537163704 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians
Waco Cardiology AssociatesGroup PAC ID 2860464948, 22 clinicians

Practice addresses (Care Compare)

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

7125 New Sanger Ave
Suite a
Waco, TX 76712-4054
Phone (254) 399-5400

7125 New Sanger Ave a
Waco, TX 76712-4054

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392
  • Freestone Medical Center Hospital, Fairfield, TX, CCN 450658
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7647TXMDDiagnostic Radiology Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 12, 2023 Accepting new patients
Central Texas Radiological Associates PA Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Sep 12, 2023 Accepting new patients
Waco Radiology PA Diagnostic Radiology Past Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245

3206 4th St
Longview, TX 75605
Phone (903) 663-7393

405 Londonderry Dr
Ste 104
Waco, TX 76712
Phone (254) 751-4900

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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 6

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1295775765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-663-7393",
            "fax_number": "903-663-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL PKWY",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127910",
            "telephone_number": "254-751-4299",
            "fax_number": "903-663-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M7647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SORENSEN",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.