Individual provider Active NPI

Kimberly Wheeler, M.D.

  • Family Medicine Physician
  • Lockhart, TX
National Provider Identifier
1679527147
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2198 Issued in TX
Practice address
1009 W San Antonio St
Lockhart, TX 78644-2421
Phone
(512) 376-5247
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2198 TX Primary

Addresses

Primary practice location

1009 W San Antonio St
Lockhart, TX 78644-2421

Mailing address

1009 W San Antonio St
Lockhart, TX 78644-2421

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000472 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1254366172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lockhart Family Medicine PLLCGroup PAC ID 3577666817, 3 clinicians

Practice addresses (Care Compare)

1009 W San Antonio St
Lockhart, TX 78644-2421
Phone (512) 376-5247

Hospital & facility affiliations

  • Ascension Seton Edgar B Davis Hospital, Luling, TX, CCN 451371
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Post Acute Medical at Luling LLC Long-term care hospital, Luling, TX, CCN 452062

Merit-based Incentive Payment System (MIPS)

Final score
91.91 of 100Reported as individual
Quality
96.05
Improvement activities
40
Cost
78.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lockhart Family Medicine PLLC Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Hondo Emergency Physicians PLLC Past Accepting new patients
Texas Emergency Room Services, PA Past Accepting new patients

Locations

1009 W San Antonio St
Lockhart, TX 78644
Phone (512) 376-5247

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEGCDD

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1679527147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W SAN ANTONIO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W SAN ANTONIO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442421",
            "telephone_number": "512-376-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

Verify at the official NPI Registry.