Patcharabhorn Klumb, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2216 Issued in TX

Practice address

1518 10TH St
Wichita Falls, TX 76301-4405

Phone

(940) 234-2394

Fax

(940) 234-2395

NPI assigned

Jul 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bestcare Health Services Inc Home health agency, Wichita Falls, TX, CCN 679231
• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• Direct secure messaging: pklumb14088@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Wichita Falls Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Wichita Falls, TX
  • NPI 1942758529
  Medicare reassignment NPD Authorized official
• Wichita Falls Podiatry, PLLC

  • Podiatric Clinic/Center
  • Wichita Falls, TX
  • NPI 1497107734
  NPD (past) Authorized official
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD

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

• Bestcare Health Services,Inc

  • Home Health Agency
  • Wichita Falls, TX
  • NPI 1568518306
  Care Compare affiliation
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1558625624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 KENDALL RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441201141",
            "telephone_number": "219-588-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014405",
            "telephone_number": "940-234-2394",
            "fax_number": "940-234-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27100 chardon rd.",
            "address_purpose": "LOCATION",
            "city": "Richmond heights",
            "state": "OH",
            "postal_code": "44143",
            "country_code": "US",
            "telephone_number": "144-058-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUMB",
        "first_name": "PATCHARABHORN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "DPM TRAINING CERT.",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Suzanne Kirksey, SLPA
• Jenny Kisner, O.D.
• Danielle Kistler, EIS
• Ruth Jeannette Kizer, LPC
• Melinda Klapheke, MA, LPC, NCC
• Steven Klumb, DPM
• Treva Knight, RN
• Christopher Koetter
• Drew C Koetter, DPT
• Monica D Koetter, NP

• Foot & Ankle Surgery Podiatrist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.