Individual provider Active NPI

Kimberly S Huggins, M.D.

  • Emergency Medicine Physician
  • Aurora, MO
National Provider Identifier
1295935161
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2023013143 Issued in MO
Practice address
500 Porter Ave
Aurora, MO 65605-2365
Phone
(417) 678-7888
NPI assigned
Jul 19, 2007
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-5107 AR
Emergency Medicine Physician 207P00000X 2023013143 MO Primary

Addresses

Primary practice location

500 Porter Ave
Aurora, MO 65605-2365

Mailing address

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-7888

Other practice location 1

2907 E Joyce Blvd
Fayetteville, AR 72703-5011
Phone (479) 521-8260

Other practice location 2

1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090313000205 AR Practitioner - Family PracticePractitioner - Emergency Medicine 5799841961 Reassigns benefits to 5 organizations
I20230507000007 MO Practitioner - Family PracticePractitioner - Emergency Medicine 5799841961 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1 Mercy Way
Bella Vista, AR 72714-3000
Phone (479) 802-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5107ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Cassville CurrentSince May 1, 2023 Accepting new patients
Mercy Hospital Cassville CurrentSince May 1, 2023 Accepting new patients
Mercy Hospital Aurora CurrentSince May 1, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients
Mercy Hospital Berryville CurrentSince Aug 1, 2024 Accepting new patients
Mercy Hospital Aurora CurrentSince May 1, 2023 Accepting new patients
Sgoh Acquisition Inc CurrentSince Sep 21, 2022 Accepting new patients
Sgoh Acquisition Inc CurrentSince Sep 21, 2022 Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients

Locations

1 Mercy Way
Bella Vista, AR 72714
Phone (479) 802-5555

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

Organizations & group practices 10

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 2

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1295935161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORTER AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052365",
            "telephone_number": "417-678-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTER AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052365",
            "telephone_number": "417-678-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2907 E Joyce Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035011",
            "country_code": "US",
            "telephone_number": "479-521-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Jackson St SW",
            "address_purpose": "LOCATION",
            "city": "Gravette",
            "state": "AR",
            "postal_code": "727369121",
            "country_code": "US",
            "telephone_number": "479-787-5291",
            "fax_number": "479-344-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGGINS",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5107",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2023013143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, MO

Sources for this page

Verify at the official NPI Registry.