Kimberly Vail Baxter, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J8435 Issued in TX

Practice address

9835 N Lake Creek Pkwy Ste 120
Austin, TX 78717-6210

Phone

(737) 229-3400

Fax

(737) 229-3401

NPI assigned

Dec 22, 2005

Last updated

Apr 15, 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 11225-albert-kimberly@direct.leadingreach.com
• Direct secure messaging: kbaxter453297@prddirect.texaschildrens.org

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.

• The Austin Diagnostic Clinic, PLLC

  dba Austin Diagnostic Clinic

  • Nephrology Physician
  • Austin, TX
  • NPI 1497729685
  Medicare reassignment NPD
• Austin Diagnostic Clinic

  • Hospitalist Physician
  • Austin, TX
  • NPI 1972011658
  NPD
• The Austin Diagnostic Clinic, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Austin, TX
  • NPI 1932186640
  NPD
• Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1619923950
  NPD (past)
• TCH Pediatric Associates, Inc

  dba Texas Children's Pediatric Associates

  • Pediatrics Physician
  • Houston, TX
  • NPI 1225038326
  NPD (past)
• TCH Pediatric Associates, Inc

  dba TCP Grand Parkway

  • Pediatrics Physician
  • Sugar Land, TX
  • NPI 1861492654
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1396722146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 N LAKE CREEK PKWY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787176210",
            "telephone_number": "737-229-3400",
            "fax_number": "737-229-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 N LAKE CREEK PKWY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787176210",
            "telephone_number": "737-229-3400",
            "fax_number": "737-229-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 Gaston Place Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787232658",
            "country_code": "US",
            "telephone_number": "512-600-2234",
            "fax_number": "512-600-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "KIMBERLY",
        "middle_name": "VAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J8435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102963901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pushpam Baweja, O.D.
• Drew Alex Baxa, AGACNP-BC
• Denise Baxindine, LCSW
• Amberlyn Baxter
• Cassandra Baxter, LPC
• Bay Area Radiology, PC
• Roberto Bayardo, MD
• Peter Baydu, AGACNP-BC
• Michael Bayer, M.D.
• Yasemin Beste Baykal, RD

• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.