Kim Elliott, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G7059 Issued in TX

Practice address

2300 Green Oak Dr Ste 300
Kingwood, TX 77339-2051

Phone

(281) 359-4111

Fax

(281) 359-4447

NPI assigned

Sep 20, 2006

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

Specialty

Internal Medicine

Education

Baylor College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Omnix Health Care Services Inc Home health agency, Crosby, TX, CCN 743167
• Accentcare Home Health of Houston - North, LLC Home health agency, Houston, TX, CCN 457741
• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
• HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAGGCA/Endpoint/DAGGCA

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.

• Kemd Consulting P.a.

  • Internal Medicine Physician
  • Kingwood, TX
  • NPI 1538639372
  Medicare reassignment Authorized official
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of Houston - North, LLC

  • Home Health Agency
  • Houston, TX
  • NPI 1306544689
  Care Compare affiliation
• Chca Conroe LP

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1962455816
  Care Compare affiliation
• KPH-Consolidation, Inc.

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation
• Omnix Health Care Services, Inc.

  • Home Health Agency
  • Crosby, TX
  • NPI 1316132269
  Care Compare affiliation
• Tops Specialty Hospital, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1407954738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GREEN OAK DR STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392051",
            "telephone_number": "281-359-4111",
            "fax_number": "281-359-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GREEN OAK DR STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392051",
            "telephone_number": "281-359-4111",
            "fax_number": "281-359-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G7059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097846201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Neurology PA
• Charlotte Stiles Elizondo, FNP-C
• Vanessa Lynn Elledge, P.A.-C
• David Peter Ellent, M.D.
• Ellett Medical Supplies Inc
• Wanda Elliott, LSA
• Danya Ellis, M.D.
• Erin C Ellisor, OD
• Glenn D Ellisor, O.D.
• Wade Ellisor, OD

• Internal Medicine Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.