Individual provider Active NPI

Michael Kimble

  • Emergency Medicine Physician
  • McKinney, TX
National Provider Identifier
1386683829
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M2674 Issued in TX
Practice address
5252 W University Dr
McKinney, TX 75071-7822
Phone
(469) 764-5000
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M2674 TX Primary

Addresses

Primary practice location

5252 W University Dr
McKinney, TX 75071-7822

Mailing address

PO Box 863367
Plano, TX 75086-3367
Phone (214) 212-2787

Other practice location 1

7601 Preston Rd
Plano, TX 75024-3214
Phone (469) 303-7000

Other practice location 2

1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-7000

Other identifiers 5

IdentifierTypeStateIssuer
0025PJOtherTXBCBS INDIVIDUAL - PRESBYT
181218201OtherTXMEDICAID - PRESBYTERIAN D
8U5865OtherTXBCBS GROUP - PRESBYTERIAN
8G7408OtherTXMEDICARE GROUP - PRESBYTE
0025PJOtherTXBLUE CROSS BLUE SHIELD

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
I20060912000218 TX Practitioner - Emergency Medicine 3072517754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Pediatric Emergency Medicine Group LLP Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
Motley Emergency Physicians Emergency Medicine Past Accepting new patients
Texas Em-I Medical Services, P.a. Emergency Medicine Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Denton Erdocs PA Emergency Medicine Past Accepting new patients
Grapevine Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Chandor Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3500 Gaston Ave
Dallas, TX 75246

1935 Medical District Dr
#D
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Interoperability endpoints

  • Direct secure messaging: mkimble409467@direct.childrens.com

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 and National Provider Directory roles.

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": "1605744000000",
    "number": "1386683829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863367",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750863367",
            "telephone_number": "214-212-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 W UNIVERSITY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717822",
            "telephone_number": "469-764-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 Preston Rd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243214",
            "country_code": "US",
            "telephone_number": "469-303-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1935 Medical District Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357701",
            "country_code": "US",
            "telephone_number": "214-456-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M2674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL - PRESBYT",
            "identifier": "0025PJ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - PRESBYTERIAN D",
            "identifier": "181218201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP - PRESBYTERIAN",
            "identifier": "8U5865",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP - PRESBYTE",
            "identifier": "8G7408",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0025PJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.