Active NPI
Kelly Damon Grimes, D.O.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- K7749
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144815104 | Medicaid | TX | |
| 0056PJ | Other | TX | BCBS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051103000861 | TX | Practitioner - Preventive Medicine | 2466470836 | Practice locations: Benbrook, TX; Weatherford, TX; Fort Worth, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Preventive 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
- Baylor Scott & White Medical Center at Irving
- Texas Health Arlington Memorial Hospital
- Baylor University Medical Center
- Baylor Scott & White Medical Center- Waxahachie
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 88 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New 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
- kgrimes15864@direct.texashealth.org
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Thousand Oaks Hospice Care Inc | 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.
-
- Community Based Hospice Care Agency
- Dallas, TX
- NPI 1699406140
W-2 Managing Employee
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1023602588
-
- Internal Medicine Physician
- Frisco, TX
- NPI 1265325898
-
- Family Medicine Physician
- Cedar Park, TX
- NPI 1528061157
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
-
- Community Based Hospice Care Agency
- Dallas, TX
- NPI 1699406140
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.