Individual provider Active NPI

Kimberly Trinca Golde, M.D.

  • Ophthalmology Physician
  • Round Rock, TX
National Provider Identifier
1457512451
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P6397 Issued in TX
Practice address
2120 Round Rock Ave Ste 100
Round Rock, TX 78681-4010
Phone
(512) 244-1991
Fax
(512) 244-1786
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L-235246 MA
Surgery Physician 208600000X L-235246 MA
Ophthalmology Physician 207W00000X 249043 MA
Ophthalmology Physician 207W00000X P6397 TX Primary

Addresses

Primary practice location

2120 Round Rock Ave Ste 100
Round Rock, TX 78681-4010

Mailing address

2120 Round Rock Ave Ste 100
Round Rock, TX 78681-4010
Phone (512) 244-1991

Other practice location 1

603 Mallard Ln
Taylor, TX 76574-1214
Phone (512) 352-7664

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
I20140107000403 TX Practitioner - Ophthalmology 4385814912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eactx PLLCGroup PAC ID 3476616541, 6 clinicians

Practice addresses (Care Compare)

2120 Round Rock Ave
Suite 100
Round Rock, TX 78681-4010
Phone (512) 244-1991

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
91.81
Improvement activities
40
Cost
78.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L-235246MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eactx PLLC Ophthalmology CurrentSince Aug 1, 2015 Accepting new patients

Locations

2120 Round Rock Ave
#100
Round Rock, TX 78681
Phone (512) 244-1991

603 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

Organizations & group practices 1

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1457512451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 ROUND ROCK AVE STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814010",
            "telephone_number": "512-244-1991",
            "fax_number": "512-244-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ROUND ROCK AVE STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814010",
            "telephone_number": "512-244-1991",
            "fax_number": "512-244-1786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Mallard Ln",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "TX",
            "postal_code": "765741214",
            "country_code": "US",
            "telephone_number": "512-352-7664",
            "fax_number": "512-365-5237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDE",
        "first_name": "KIMBERLY",
        "middle_name": "TRINCA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "L-235246",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "L-235246",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "249043",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P6397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.