Individual provider Active NPI

Tyler Scott Kimm, M.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1740628221
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R2643 Issued in TX
Practice address
2800 S Macgregor Way
Houston, TX 77021-1032
Phone
(713) 486-2571
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R2643 TX Primary

Addresses

Primary practice location

2800 S Macgregor Way
Houston, TX 77021-1032

Mailing address

7777 Greenbriar St Apt 1077
Houston, TX 77030-4528
Phone (972) 768-3726

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
I20170705003024 TX Practitioner - Psychiatry 6406125509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

2800 S Macgregor Way
Harris County Psychiatric Ctr
Houston, TX 77021-1032
Phone (713) 741-4815

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry CurrentSince Jul 10, 2017 Accepting new patients
Ut Physicians CurrentSince Jul 10, 2017 Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients

Locations

2800 S Macgregor Way
Houston, TX 77021
Phone (713) 741-5000

1941 East Rd
Rm 3236
Houston, TX 77054
Phone (713) 486-2571

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1941 East Rd
Houston, TX 77054
Phone (713) 486-2500

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1740628221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GREENBRIAR ST APT 1077",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304528",
            "telephone_number": "972-768-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S MACGREGOR WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211032",
            "telephone_number": "713-486-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMM",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.