Active NPI
Kimberly Ann Ward, MD
- Internal Medicine Physician
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L7920
- Practice address
- 1001 W Southlake Blvd
Southlake, TX 76092-6010 - Phone
- (817) 310-0421
- Fax
- (817) 310-5870
- NPI assigned
- Jul 31, 2012
- Last updated
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L7920 | TX | Primary |
Addresses
Primary practice location
1001 W Southlake Blvd
Southlake, TX 76092-6010
Mailing address
1001 W Southlake Blvd
Southlake, TX 76092-6010
Phone (817) 310-0421
Other names 1
- Kimberly Ann Ward
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1604 Hospital Pkwy
Suite 501
Bedford, TX 76022-6932
Phone (817) 684-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7920 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Vericare, P.C. | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
1604 Hospital Pkwy
Ste 501
Bedford, TX 76022
Phone (817) 468-0945
Interoperability endpoints
- kward2047024@direct.texashealth.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Hospice of Texas
- Community Based Hospice Care Agency
- Fort Worth, TX
- NPI 1275537219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1417203100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926010",
"telephone_number": "817-310-0421",
"fax_number": "817-310-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926010",
"telephone_number": "817-310-0421",
"fax_number": "817-310-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L7920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "WARD",
"middle_name": "ANN",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.