Individual provider Active NPI

Kimberly D Ballard, D.O.

  • Family Medicine Physician
  • Daniels, WV
National Provider Identifier
1508959511
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000 Issued in WV
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

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89608MedicaidWV
323711OtherCARELINK
58606MedicaidWV
001761048OtherBCBS
2138918OtherUNITEDHEALTHCARE
I33574OtherHEALTH NET
P00389008OtherWVMEDICARE TRAVELERS RAILRO
3810003008MedicaidWV

Other names 1

  • Kimberly Grimmett Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 6608785795, 36 clinicians

Practice addresses (Care Compare)

252 Rural Acres Dr
Beckley, WV 25801-3503

Hospital & facility affiliations

  • Beckley Arh Home Health Home health agency, Beckley, WV, CCN 517076
  • Centerwell Home Health Home health agency, Beckley, WV, CCN 517125
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Aug 1, 2005 Accepting new patients
Community Health Systems Inc CurrentSince Aug 1, 2005 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.