Active NPI
William Thomas Kittleman, M.D.
- Ophthalmology Physician
- Round Rock, TX
National Provider Identifier
1528060241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- F9675
- Practice address
- 2120 Round Rock Ave Ste 100
Round Rock, TX 78681-4010 - Phone
- (502) 244-1991
- Fax
- (512) 244-1786
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | F9675 | TX | Primary |
Addresses
Primary practice location
2120 Round Rock Ave Ste 100
Round Rock, TX 78681-4010
Mailing address
2120 Round Rock Ave Ste 100
Round Rock, TX 78681-4010
Phone (502) 244-1991
Other practice location 1
603 Mallard Ln
Taylor, TX 76574-1214
Phone (512) 352-7664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123221703 | Medicaid | TX |
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 |
|---|---|---|---|---|
| I20090211000372 | TX | Practitioner - Ophthalmology | 4284797358 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 91.81
- Improvement activities
- 40
- Cost
- 78.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F9675 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1528060241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 ROUND ROCK AVE STE 100",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814010",
"telephone_number": "502-244-1991",
"fax_number": "512-244-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 ROUND ROCK AVE STE 100",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814010",
"telephone_number": "502-244-1991",
"fax_number": "512-244-1786"
}
],
"practiceLocations": [
{
"address_1": "603 Mallard Ln",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "TX",
"postal_code": "765741214",
"country_code": "US",
"telephone_number": "512-352-7664",
"fax_number": "512-365-5237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITTLEMAN",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "F9675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123221703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.