Individual provider Active NPI

Joshua Stuart Kilmer, DO

  • Family Medicine Physician
  • Winnsboro, TX
National Provider Identifier
1700574167
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V3347 Issued in TX
Practice address
600 E Coke Rd
Winnsboro, TX 75494-3418
Phone
(903) 763-6176
Fax
(903) 763-6167
NPI assigned
Apr 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 V3347 TX Primary

Addresses

Primary practice location

600 E Coke Rd
Winnsboro, TX 75494-3418

Mailing address

600 E Coke Rd
Winnsboro, TX 75494-3418
Phone (903) 763-6176

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
I20230803001782 TX Order and Referring Only - Family PracticePractitioner - Family Practice 8022479252

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 Turtle Creek Dr
Tyler, TX 75701-1947

Hospital & facility affiliations

  • Ut Health East Texas Pittsburg Hospital Hospital, Pittsburg, TX, CCN 451367
  • Ut Health East Texas Quitman Hospital Hospital, Quitman, TX, CCN 451380

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jkilmer319518@christushealth.direct-ci.net
  • Direct secure messaging: jkilmer876841@ahs.direct-ci.com

Hospital & facility affiliations 2

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1700574167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943418",
            "telephone_number": "903-763-6176",
            "fax_number": "903-763-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943418",
            "telephone_number": "903-763-6176",
            "fax_number": "903-763-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMER",
        "first_name": "JOSHUA",
        "middle_name": "STUART",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, TX

Sources for this page

Verify at the official NPI Registry.