NPIMap

Individual provider Active NPI

Kimberly Nkemakolam, MD

  • Internal Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1437578630
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R2189 Issued in TX
Practice address
111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380
Phone
(281) 296-8788
Fax
(281) 419-1291
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R2189 TX Primary

Addresses

Primary practice location

111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380

Mailing address

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380
Phone (281) 296-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, MA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170817000105 TX Practitioner - Internal MedicinePractitioner - Hospitalist 2466724091 Reassigns benefits to 3 organizations
I20211122001821 PA Practitioner - Internal Medicine 2466724091 Reassigns benefits to 1 organization
I20220725000504 MA Practitioner - Internal Medicine 2466724091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, shared by 3 NPIs, 605 clinicians

Practice addresses (Care Compare)

3900 Ambassador Dr
Anchorage, AK 99508-5922
Phone (907) 563-2662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2189TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC CurrentSince May 31, 2024 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Oct 14, 2021 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Apr 18, 2024 Accepting new patients
Hospitalist Physicians of Massachusetts PC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients

Locations

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

100 E Alton Gloor Blvd
#A
Brownsville, TX 78526
Phone (956) 350-7000

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1437578630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR",
            "address_2": "SUITE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-296-8788",
            "fax_number": "281-419-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PLAZA DR",
            "address_2": "SUITE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-296-8788",
            "fax_number": "281-419-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKEMAKOLAM",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.