Active NPI
Kimberly D Ballard, D.O.
- Family Medicine Physician
- Daniels, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2000
- Practice address
- 2157 Ritter Dr
Daniels, WV 25832-9371 - Phone
- (304) 763-4326
- Fax
- (304) 763-4581
- NPI assigned
- Oct 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2000 | WV | Primary |
Addresses
Primary practice location
2157 Ritter Dr
Daniels, WV 25832-9371
Mailing address
252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 252-8551
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89608 | Medicaid | WV | |
| 323711 | Other | CARELINK | |
| 58606 | Medicaid | WV | |
| 001761048 | Other | BCBS | |
| 2138918 | Other | UNITEDHEALTHCARE | |
| I33574 | Other | HEALTH NET | |
| P00389008 | Other | WV | MEDICARE TRAVELERS RAILRO |
| 3810003008 | Medicaid | WV |
Other names 1
- Kimberly Grimmett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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 |
|---|---|---|---|---|
| I20050720000081 | WV | Practitioner - Family Practice | 7012944234 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Systems Inc
Practice addresses (Care Compare)
252 Rural Acres Dr
Beckley, WV 25801-3503
Hospital & facility affiliations
- Beckley Arh Home Health
- Centerwell Home Health
- Raleigh General Hospital
- Beckley Arh Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.54 of 100
- Quality
- 92.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Systems, Inc. | Current | Accepting new patients | |
| Community Health Systems Inc | Current | Accepting new patients | |
| Associates in OB GYN, Inc | Past | Accepting new patients |
Locations
201 Woodcrest Dr
Beckley, WV 25801
Phone (304) 250-0272
252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551
302 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333
410 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333
2157 Ritter Dr
Daniels, WV 25832
Phone (304) 461-0300
Interoperability endpoints
- kimberly.ballard.1@14333.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1588738538
WV
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1194510644
-
- Obstetrics & Gynecology Physician
- Cincinnati, OH
- NPI 1497716005
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Beckley, WV
- NPI 1780679332
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1568461440
Hospital
-
- Home Health Agency
- Beckley, WV
- NPI 1265461545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1508959511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 RURAL ACRES DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013503",
"telephone_number": "304-252-8551",
"fax_number": "304-252-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 RITTER DR",
"city": "DANIELS",
"state": "WV",
"postal_code": "258329371",
"telephone_number": "304-763-4326",
"fax_number": "304-763-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "KIMBERLY",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "2000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89608",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "323711",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58606",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001761048",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "2138918",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "I33574",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS RAILRO",
"identifier": "P00389008",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003008",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "GRIMMETT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Daniels, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.