Active NPI
Kimball N Pratt, M.D.
- Neurological Surgery Physician
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 26028
- Practice address
- 620 24TH Ave SW
Norman, OK 73069 - Phone
- (405) 325-5800
- NPI assigned
- Jun 15, 2006
- Last updated
- May 23, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301065100 | MI | |
| Neurological Surgery Physician | 207T00000X | 26028 | OK | Primary |
Addresses
Primary practice location
620 24TH Ave SW
Norman, OK 73069
Mailing address
1122 NE 13TH St
Ori 236
Oklahoma City, OK 73117-1039
Phone (405) 325-5800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200194340A | Medicaid | OK | |
| 3147543-10 | Medicaid | MI | |
| 1406100832 | Other | MI | BLUE CROSS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-5800
140 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-8330
150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
50 Hillcrest Medical Blvd
Suite 201B
Waco, TX 76712-8954
Phone (254) 297-0515
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Temple
- Baylor Scott & White Medical Center Hillcrest
- Hill Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 15 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301065100 | MI | MD | Neurological Surgery Physician |
| 26028 | OK | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Scott and White Clinic | Current | Accepting new patients | |
| Shoreline Neurosurgical Consulting, PLC | Past | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000
Interoperability endpoints
- kprattmd230971@direct.sw.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Radiation Oncology Physician
- Waxahachie, TX
- NPI 1821475153
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
-
- Specialist
- Muskegon, MI
- NPI 1104005065
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center Hillcrest
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
-
dba Hill Regional Hospital
- Critical Access Hospital
- Hillsboro, TX
- NPI 1992285282
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1588608293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 NE 13TH ST",
"address_2": "ORI 236",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171039",
"telephone_number": "405-325-5800",
"fax_number": "405-701-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 24TH AVE SW",
"city": "NORMAN",
"state": "OK",
"postal_code": "73069",
"telephone_number": "405-325-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "KIMBALL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301065100",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OK",
"license": "26028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200194340A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3147543-10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1406100832",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
- Viki Powell, RN
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
- Deshia R Powers, LPC
- Jackie E Powers, OD
- Shauna Pearl Prater
- Lauren Pratt, PA-C
- Precision Medical, PLLC
- Precision Therapy Services, L.L.C. (Precision Therapy)
- Premiere Pediatrics PLLC
- Prescription Care LLC (Prescription Care Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.