Active NPI
Kimberlea A Roe, MD
- Specialist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K2112
- Practice address
- 8160 Walnut Hill LN
Ste 304
Dallas, TX 75231-4339 - Phone
- (214) 369-2895
- NPI assigned
- May 20, 2006
- Last updated
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K2112 | TX | Primary |
Addresses
Primary practice location
8160 Walnut Hill LN
Ste 304
Dallas, TX 75231-4339
Mailing address
8160 Walnut Hill LN
Ste 304
Dallas, TX 75231-4339
Phone (214) 369-2895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89380S | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2112 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Tracy E Speight MD PA | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| GYN Healthcare Associates | Past | Accepting new patients | |
| Texas Health Presbyterian Hospital Plano | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
Interoperability endpoints
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
- kroe227662@direct.phs.org
Organizations & group practices 8
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1659560829
-
dba OBGYN Healthcare Associates
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1730375197
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- General Acute Care Hospital
- Plano, TX
- NPI 1770514077
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1225367980
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1306890694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8160 WALNUT HILL LN",
"address_2": "STE 304",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314339",
"telephone_number": "214-369-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8160 WALNUT HILL LN",
"address_2": "STE 304",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314339",
"telephone_number": "214-369-2895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "KIMBERLEA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K2112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89380S",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.