Individual provider Active NPI

Kimberley A Bourne-Arriaga, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita Falls, TX
National Provider Identifier
1689648057
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
R5975 Issued in TX
Practice address
4327 Barnett Rd
Wichita Falls, TX 76310
Phone
(940) 764-5350
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME0068238 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X R5975 TX Primary

Addresses

Primary practice location

4327 Barnett Rd
Wichita Falls, TX 76310

Mailing address

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 764-5350

Other practice location 1

6150 Metrowest Blvd
Suite 105
Orlando, FL 32835-3289
Phone (407) 293-2150

Other practice location 2

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 764-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbournearriaga13440@unitedregional.medalliesdirect.net Direct United Regional Health Care System Inc

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
I20180512000001 TX Practitioner - Endocrinology 5294793477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Johns Hopkins University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Regional Physician GroupGroup PAC ID 2163417478, 106 clinicians

Practice addresses (Care Compare)

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 764-5200

Hospital & facility affiliations

  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
  • Graham Regional Medical Center Hospital, Graham, TX, CCN 671300
  • Electra Memorial Hospital Hospital, Electra, TX, CCN 451343
  • Clay County Memorial Hospital Hospital, Henrietta, TX, CCN 451362
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022

Merit-based Incentive Payment System (MIPS)

Final score
77.42 of 100Reported as group
Quality
66.99
Promoting interoperability
100
Improvement activities
40
Cost
57.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0068238FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
United Regional Physician Group CurrentSince Mar 29, 2018 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4
  • Direct secure messaging: kbournearriaga13440@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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 8

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1689648057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102303",
            "telephone_number": "940-764-5350",
            "fax_number": "940-764-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76310",
            "telephone_number": "940-764-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Metrowest Blvd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353289",
            "country_code": "US",
            "telephone_number": "407-293-2150",
            "fax_number": "407-293-4540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4327 Barnett Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763102303",
            "country_code": "US",
            "telephone_number": "940-764-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURNE-ARRIAGA",
        "first_name": "KIMBERLEY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0068238",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "R5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbournearriaga13440@unitedregional.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "United Regional Health Care System Inc",
            "affiliationName": "United Regional Health Care System Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Secure Messaging Address",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.