Individual provider Active NPI

Kim A Castleberry, O.D.

  • Optometrist
  • Plano, TX
National Provider Identifier
1841213576
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3161TG Issued in TX
Practice address
5900 Coit Rd
Plano, TX 75023-5959
Phone
(972) 985-1412
Fax
(972) 964-5758
NPI assigned
Jul 25, 2006
Last updated
Feb 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3161TG TX Primary

Addresses

Primary practice location

5900 Coit Rd
Plano, TX 75023-5959

Mailing address

5900 Coit Rd
Plano, TX 75023-5959
Phone (972) 985-1412

Other identifiers 1

IdentifierTypeStateIssuer
100613202MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000887 TX Practitioner - Optometry 7810035664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plano Eye Associates PCGroup PAC ID 3072575349, 8 clinicians

Practice addresses (Care Compare)

5900 Coit Rd
Plano, TX 75023-5959
Phone (972) 985-1412

Merit-based Incentive Payment System (MIPS)

Final score
98.54 of 100Reported as individual
Quality
97.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3161TGTXMDOptometrist
3161TXMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Plano Eye Associates PC Optometrist CurrentSince Jan 15, 1987 Accepting new patients

Locations

5900 Coit Rd
Plano, TX 75023
Phone (972) 985-1412

Interoperability endpoints

  • Direct secure messaging: kim.castleberry@uprisedirect.com
  • Direct secure messaging: kim.castleberry1@uprisedirect.com
  • Direct secure messaging: sme.demo2@uprisedirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1841213576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235959",
            "telephone_number": "972-985-1412",
            "fax_number": "972-964-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235959",
            "telephone_number": "972-985-1412",
            "fax_number": "972-964-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "KIM",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3161TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100613202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.