Active NPI
Kimberly Willis Coates, M.D.
- Gynecology Physician
- Round Rock, TX
National Provider Identifier
1699838755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- J1937
- Practice address
- 511 Oakwood Blvd
Suite 200
Round Rock, TX 78681-4007 - Phone
- (512) 255-0769
- Fax
- (512) 255-4569
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | J1937 | TX | Primary |
| Urology Physician | 208800000X | J1937 | TX |
Addresses
Primary practice location
511 Oakwood Blvd
Suite 200
Round Rock, TX 78681-4007
Mailing address
511 Oakwood Blvd
Suite 200
Round Rock, TX 78681-4007
Phone (512) 255-0769
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064LP | Other | TX | BCBS INDIVIDUAL |
| J1937 | Other | TX | STATE LICENSE NUMBER |
| 20-0972212 | Other | TX | TAX ID |
Other names 1
- Kimberly W Coates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Wills Coates M.D. | Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1699838755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 OAKWOOD BLVD",
"address_2": "SUITE 200",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814007",
"telephone_number": "512-255-0769",
"fax_number": "512-255-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 OAKWOOD BLVD",
"address_2": "SUITE 200",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814007",
"telephone_number": "512-255-0769",
"fax_number": "512-255-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS COATES",
"first_name": "KIMBERLY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "J1937",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "J1937",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "0064LP",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "J1937",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "20-0972212",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "COATES",
"middle_name": "W",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.