Kimberly Middleton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S4192 Issued in TX

Practice address

4170 Lavon Dr Ste 146
Garland, TX 75040-2975

Phone

(972) 495-7224

Fax

(708) 756-4026

NPI assigned

Mar 7, 2006

Last updated

Jul 15, 2021By the provider in NPPES

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

Other identifiers 4

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

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Group PLLCGroup PAC ID 8022334481, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Health Services of North Texas, Inc

  • Federally Qualified Health Center (FQHC)
  • Plano, TX
  • NPI 1790232007

  Corporate Director

  CMS ownership
• Health Services of North Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wylie, TX
  • NPI 1013326412

  Corporate Director

  CMS ownership
• Health Services of North Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Denton, TX
  • NPI 1063916799

  Corporate Director

  CMS ownership
• Health Services of North Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Denton, TX
  • NPI 1124538442

  Corporate Officer

  CMS ownership
• Health Services of North Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Denton, TX
  • NPI 1639425937

  Corporate Director

  CMS ownership

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.

• Texas Group PLLC

  dba Metro Vein Centers

  • Surgery Physician
  • Allen, TX
  • NPI 1720477706
  Medicare reassignment Care Compare group NPD
• Southmed Services, PLLC

  • Health Service Clinic/Center
  • McKinney, TX
  • NPI 1598461469
  NPD Authorized official
• Midmed Services, LLC

  • Primary Care Clinic/Center
  • Joliet, IL
  • NPI 1275882235
  NPD Authorized official
• Midwest Illinois Six Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1295493047

  Family Medicine

  NPD (past)
• Midwest Indiana Four Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1740947076

  Family Medicine

  NPD (past)
• Southwest Texas Two Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1659950475

  Family Medicine

  NPD (past)
• Circle Family Healthcare Network, Inc

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1649399106
  NPD (past)
• MVC Az

  dba Metro Vein Centers

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1477256063
  NPD (past)
• Solid Rock Care Center II

  • General Practice Physician
  • Oak Park, IL
  • NPI 1780877993
  NPD (past)
• Vein Clinics of Chicago LLC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1386904621
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1619944857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 LAVON DR STE 146",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402975",
            "telephone_number": "972-495-7224",
            "fax_number": "972-495-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 LAVON DR STE 146",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402975",
            "telephone_number": "972-495-7224",
            "fax_number": "708-756-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S4192",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036103921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "KM086980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "080H262390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "KM086980",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "484049210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael and Michael Professional Services
• Michael Bollish, O.D. P.C.
• Michael Stewart OD PLLC
• Francis Michael
• Brittany Ashleigh Michel, OTR/L
• Midwifery Associates (Family Centered Maternity Care)
• Midwifery Associates (Family Centered Maternity Care)
• Midwifery Associates Group, PLLC
• Tena K Mihecoby, ATC, LAT
• Mike Dee Allen,D.D.S.,M.S.D.,Inc. (Drs. Allen & Allen)

• Family Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.