Organization Active NPI

Kamcare PLLC

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1366184137
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KAMCARE PLLC
Practice address
5056 Tennyson Pkwy Ste 200
Plano, TX 75024-2922
Phone
(972) 372-9590
Fax
(972) 372-9415
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Katherine Heyde, FNPNPI 1649897067
Title
FNP/Owner
Phone
(972) 372-9590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5056 Tennyson Pkwy Ste 200
Plano, TX 75024-2922

Mailing address

5056 Tennyson Pkwy Ste 200
Plano, TX 75024-2922
Phone (972) 372-9590

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.kamcarehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509000105 TX Part B Supplier - Clinic/Group Practice 5698152965 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2259121Kamcare5056 Tennyson Pkwy Suite 200, Plano, TX 75024Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1366184137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5056 TENNYSON PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242922",
            "telephone_number": "972-372-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 TENNYSON PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242922",
            "telephone_number": "972-372-9590",
            "fax_number": "972-372-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "HEYDE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "972-372-9590",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.kamcarehealth.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5056 Tennyson Pkwy Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750242922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.