Kimberly A. Addis, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Longview, TX
NPI 1720064652 · NPPES record last updated Oct 13, 2015
Key facts
- NPI
- 1720064652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- M1466 (TX)
- Practice address
- 4777 US Highway 259
Longview, TX 75605-7668 - Phone
- (903) 663-7393
- Fax
- (903) 663-7394
- NPI assigned
- Dec 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Pennsylvania State University College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singleton Associates PA
Practice addresses (Care Compare)
11100 Shadow Creek Pkwy
Pearland, TX 77584-7285
Phone (713) 461-3573
Hospital & facility affiliations
- HCA Houston Healthcare Clear Lake
- Memorial Hermann Hospital System
- Corpus Christi Medical Center,the
- Memorial Hermann Northeast Hospital
- HCA Houston Healthcare Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922000858 | TX | Practitioner - Diagnostic Radiology |
0547294118 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1466 | TX | MD | Diagnostic Radiology Physician |
| M1446 | TX | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| Diagnostic MRI Central LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Four Seasons Breast Foundation | Past | Accepting new patients | |
| Radcare of Texas PLLC | Diagnostic Radiology | Past | Accepting new patients |
| River City Imaging Associates PA | Diagnostic Radiology | Past |
Accepting new patients |
| River City Imaging Centers LLC | Past |
Accepting new patients | |
| Radiology Associates of San Antonio,P.a. | Diagnostic Radiology | Past | Accepting new patients |
Locations
1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150
100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000
100 E Alton Gloor Blvd
#A
Brownsville, TX 78526
Phone (956) 350-7000
21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
8902 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 575-8003
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DR.0050065 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | M1466 | TX | Yes |
| Vascular & Interventional Radiology Physician | 2085R0204X | M1446 | TX | |
| General Practice Physician | 208D00000X | M1446 | TX |
Addresses
Primary practice location
4777 US Highway 259
Longview, TX 75605-7668
Mailing address
4777 US Highway 259
Longview, TX 75605-7668
Phone (903) 663-7393
Other providers in Longview, TX
- Eboni Joy Adams
- Kaitlyn Adams
- Megan Adams
- Jesse Majors Adamson
- Scott A Adcock
- Adept Care
- Advanced Interventions Associates, Inc.
- Affordable Dentist Near Me in Longview PLLC
- Zuhair Afsar
- Nebolisa Johnpaul Agupusi
All providers in Longview, TX · Diagnostic Radiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.