Kyle Alan Willingham, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

BP10046845 Issued in TX

Practice address

700 E Marshall Ave
Longview, TX 75601-5580

Phone

(903) 315-2000

NPI assigned

Jun 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Texas Tech University Health Science Center School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quantum Emergency Physicians PAGroup PAC ID 1153414503, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score

50.71 of 100Reported as individual

Quality

30

Improvement activities

40

Cost

33.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Quantum Emergency Physicians PA

  • Hospitalist Physician
  • Abilene, TX
  • NPI 1215010079

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Quantum Hospital Medicine Services of Texas PA

  • Hospitalist Physician
  • Port Arthur, TX
  • NPI 1568613024

  Internal Medicine

  Medicare reassignment NPD
• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  NPD
• Hendrick Medical Center

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1861498735
  NPD

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

• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1528406436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "903-315-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "903-315-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "KYLE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10046845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Blake Williams
• Ricky Anthony Williams, R.PH.
• Tiffany Williams
• Eric D Willie
• Kimberly Parrott Willingham
• Deborah Willis, R.PH.
• Margaret Willis, RBT
• Selwyn Willis, DPM
• Sheila W Willis, LPC
• Summer Willis, FNP

• Internal Medicine Physician in Longview, TX
• Providers in Longview, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.

Verify at the official NPI Registry.