Active NPI
Kimiye R.F. Cabrera, M.D.
- Surgery Physician
- Bryan, TX
National Provider Identifier
1477679355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- P1625
- Practice address
- 2700 E 29TH St Ste 105
Bryan, TX 77802-2507 - Phone
- (979) 776-5631
- Fax
- (979) 776-6184
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD 15339R | LA | |
| Surgery Physician | 208600000X | P1625 | TX | Primary |
Addresses
Primary practice location
2700 E 29TH St Ste 105
Bryan, TX 77802-2507
Mailing address
2700 E 29TH St Ste 105
Bryan, TX 77802-2507
Phone (979) 776-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926800 | Medicaid | AZ |
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
- General Surgery
- Education
- Oregon Health Sciences University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030
PO Box PH
Chinle, AZ 86503-8000
Hospital & facility affiliations
- Chinle Comprehensive Health Care Facility
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 18 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 15339R | LA | MD | Surgery Physician |
| P1625 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| Jonathan a. Friedman, M.D., PLLC | Past | Accepting new patients | |
| St Joseph Physician Associates | Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
- Physician Assistant
- Bryan, TX
- NPI 1629127212
-
- Neurological Surgery Physician
- Bryan, TX
- NPI 1851405039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1477679355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E 29TH ST STE 105",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022507",
"telephone_number": "979-776-5631",
"fax_number": "979-776-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 29TH ST STE 105",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022507",
"telephone_number": "979-776-5631",
"fax_number": "979-776-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "KIMIYE",
"middle_name": "R.F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD 15339R",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "P1625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926800",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.