Kim Lynn Hamilton, P A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04990 Issued in TX

Practice address

11700 Westheimer Rd Ste J
Houston, TX 77077-6884

Phone

(346) 575-0067

NPI assigned

Nov 10, 2006

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Memorial Hermann Urgent Care PLLC

  dba Memorial Hermann-GoHealth Urgent Care

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1730821208
  Medicare reassignment Care Compare group
• Athlete Stop Sports Medicine PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Katy, TX
  • NPI 1144823295
  Medicare reassignment

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1366513590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23144 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943603",
            "telephone_number": "281-392-5005",
            "fax_number": "281-392-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 WESTHEIMER RD STE J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776884",
            "telephone_number": "346-575-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23144 Westheimer Pkwy",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774943603",
            "country_code": "US",
            "telephone_number": "281-392-5005",
            "fax_number": "281-392-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KIM",
        "middle_name": "LYNN",
        "credential": "P A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA04990",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Thomas Hamilton, MD
• Jackson D Hamilton Jr., M.D.
• Jane Elizabeth Hamilton, LCSW
• Jeffrey Ray Hamilton, D.C.
• Joseph Devance Hamilton, MD
• Kristy Hamilton, M.D.
• Lawrence William Morris Hamilton
• Marilyn Hamilton, EDD
• Mark Patrick Hamilton, M.D.
• Mary Hamilton

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.
• 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.