Individual provider Active NPI

Kelly Damon Grimes, D.O.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
National Provider Identifier
1497787873
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
K7749 Issued in TX
Practice address
3437 W 7TH St
Suite 210
Fort Worth, TX 76107-2718
Phone
(817) 797-6599
Fax
(817) 735-8049
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7749 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X K7749 TX Primary

Addresses

Primary practice location

3437 W 7TH St
Suite 210
Fort Worth, TX 76107-2718

Mailing address

3437 W 7TH St Ste 210
Fort Worth, TX 76107-2718
Phone (817) 797-6599

Other practice location 1

400 W Lbj Fwy Ste 130
Irving, TX 75063-3700
Phone (972) 990-5222

Other identifiers 2

IdentifierTypeStateIssuer
144815104MedicaidTX
0056PJOtherTXBCBS

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
I20051103000861 TX Practitioner - Preventive MedicinePractitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 2466470836 Practice locations: Benbrook, TX; Weatherford, TX; Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Family Practice, Undersea and Hyperbaric Medicine
Education
Kansas City University of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-2000

Hospital & facility affiliations

  • Thousand Oaks Hospice Care Inc Hospice, Dallas, TX, CCN A91649
  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue88
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennia Wellness MD PLLC Past Accepting new patients
Eden Rejuvenation Center for Wellbeing PLLC Past Accepting new patients
Timberland Medical Group Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kgrimes15864@direct.texashealth.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thousand Oaks Hospice Care IncDallas, TX, CCN A91649 Hospice W-2 Managing Employee Nov 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1497787873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 W 7TH ST STE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072718",
            "telephone_number": "817-797-6599",
            "fax_number": "817-735-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 W 7TH ST",
            "address_2": "SUITE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072718",
            "telephone_number": "817-797-6599",
            "fax_number": "817-735-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Lbj Fwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633700",
            "country_code": "US",
            "telephone_number": "972-990-5222",
            "fax_number": "972-990-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KELLY",
        "middle_name": "DAMON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7749",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "K7749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144815104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0056PJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.