Kimberly S Warren, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

K4341 Issued in TX

Practice address

2801 Lemmon Ave Ste 400
Dallas, TX 75204-2399

Phone

(214) 754-0000

Fax

(214) 379-1849

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

Texas Tech University Health Science Center School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwarren@kwec.intellechartdirect.net

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.

• JW Eye Associates, PLLC

  dba Key Whitman Eye Center

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1285679803
  Medicare reassignment Care Compare group NPD
• JW Eye Associates, PLLC

  dba Key-Whitman Eye Center Greenville

  • Ophthalmology Physician
  • Greenville, TX
  • NPI 1518849728
  NPD
• PRG Dallas ASC, LLC

  dba Central Point Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1871529388
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1942239272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042399",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042399",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K4341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119014204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042040801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimwarren@keywhitman.imwdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11442 N Central Expy",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752436602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeridith Dionne Warren, PH.D.
• Karen E Warren, PA-C
• Kelly John Warren, MD
• Khloe Warren, BS, RBT
• Kimberly Warren, M.S., LPC-INTERN
• Kristin Warren, LPC, LMFT, LCDC,
• Robert Haynes Warren III
• Shirley Warren, CRT
• Madison Warrick, CCC-SLP
• Matthew Warrick, MD

• Ophthalmology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.