Individual provider Active NPI

Kimberly Blair Caldwell, M.D.

  • Family Medicine Physician
National Provider Identifier
1609001346
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD16016 Issued in HI
Practice address
PSC 80 Box 10838
Apo, AP 96367-0011
Phone
(314) 676-3141
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101265832 VA
Family Medicine Physician 207Q00000X MD16016 HI Primary

Addresses

Primary practice location

PSC 80 Box 10838
Apo, AP 96367-0011

Mailing address

PSC 80 Box 10838
Apo, AP 96367-0011
Phone (314) 676-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX, NV, OK, WI, PA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20190615000280 VA Practitioner - HospitalistPractitioner - Family Practice 2264601558 Reassigns benefits to 4 organizations
I20240612000846 TX Practitioner - Family PracticePractitioner - Hospitalist 2264601558 Reassigns benefits to 2 organizations
I20240710001076 NV Practitioner - Hospitalist 2264601558 Reassigns benefits to 1 organization
I20240730001079 OK Practitioner - Hospitalist 2264601558 Reassigns benefits to 1 organization
I20241031002962 WI Practitioner - Family Practice 2264601558 Reassigns benefits to 1 organization
I20260127004445 PA Practitioner - Internal MedicinePractitioner - Hospitalist 2264601558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Uniformed Services Uhs Fe Hebert School of Med, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Emerus Pennsylvania Inpatient Providers PLLCGroup PAC ID 5092292904, 22 clinicians
Emerus Nevada Inpatient Providers PLLCGroup PAC ID 1557749512, 21 clinicians
Vituity-Virginia Hospitalists PCGroup PAC ID 6507245131, 109 clinicians
Emerus Oklahoma Hospitalists PLLCGroup PAC ID 3577958834, 21 clinicians
Emerus Inpatient Providers SCGroup PAC ID 1850787995, 15 clinicians

Practice addresses (Care Compare)

1015 W Baltimore Pike
West Grove, PA 19390-9459
Phone (877) 346-2211

1550 W Craig Rd
Suite 100
North Las Vegas, NV 89032-0329
Phone (832) 423-3927

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6000

26791 US Hwy 380 E
Aubrey, TX 76227-7654
Phone (972) 347-2525

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 285-2011

9417 N Council Rd
Oklahoma City, OK 73162-6228
Phone (713) 637-1146

N88W14275 Main St
Menomonee Falls, WI 53051-2314
Phone (877) 346-2211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD16016HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Virginia Hospitalists PC Hospitalist CurrentSince Aug 22, 2024 Accepting new patients
Wellmed Networks, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Tidewater Physicians Multispecialty Group PC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Emerus Inpatient Providers SC CurrentSince Aug 24, 2024 Accepting new patients
Carle Health Care Incorporated Family Medicine CurrentSince Jan 12, 2026 Accepting new patients
Emerus Oklahoma Hospitalists PLLC CurrentSince Apr 26, 2024 Accepting new patients
Emerus Nevada Inpatient Providers PLLC CurrentSince May 26, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Oct 3, 2025 Accepting new patients
Emerus Pennsylvania Inpatient Providers PLLC CurrentSince Nov 9, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince May 1, 2019 Accepting new patients
Leading Edge Emergency Physicians, Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1550 W Craig Rd
Ste 100
North Las Vegas, NV 89032
Phone (702) 777-3615

4801 SE 15th St
Del City, OK 73115
Phone (405) 500-3380

1401 SW 34th St
Moore, OK 73160
Phone (405) 500-3330

9417 N Council Rd
Oklahoma City, OK 73162
Phone (405) 500-3280

300 S Rockwell Ave
Oklahoma City, OK 73128
Phone (405) 500-3430

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

8686 New Trails Dr
Ste 100
The Woodlands, TX 77381
Phone (713) 637-1004

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

N88W14275 Main St
Menomonee Fls, WI 53051
Phone (262) 415-2001

Interoperability endpoints

  • Direct secure messaging: kcaldwell1257410@direct.sw.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 13

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.

View all 13

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1609001346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 80 BOX 10838",
            "city": "APO",
            "state": "AP",
            "postal_code": "963670011",
            "telephone_number": "314-676-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "PSC 80 BOX 10838",
            "city": "APO",
            "state": "AP",
            "postal_code": "963670011",
            "telephone_number": "314-676-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KIMBERLY",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101265832",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD16016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.