NPIMap

Individual provider Active NPI

Kimberly A Thompson, DO

  • Family Medicine Physician
  • Maquoketa, IA
National Provider Identifier
1942252895
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3597 Issued in IA
Practice address
918 W Platt St # 1
Maquoketa, IA 52060-2038
Phone
(563) 652-5145
Fax
(562) 652-3674
NPI assigned
May 17, 2006
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 3597 IA Primary

Addresses

Primary practice location

918 W Platt St # 1
Maquoketa, IA 52060-2038

Mailing address

918 W Platt St # 1
Maquoketa, IA 52060-2038
Phone (563) 652-5145

Other identifiers 1

IdentifierTypeStateIssuer
0422618MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.thompson@mamaq.directbygreenway.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000868 IA Practitioner - Family Practice 0143218594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unified Therapy Services, IncGroup PAC ID 7618985714, 124 clinicians

Practice addresses (Care Compare)

307 E Wester PO Box
Suite 58
Wyoming, IA 52362
Phone (563) 488-2297

411 W White St
Preston, IA 52069-9570
Phone (563) 689-3201

4135 Pennsylvania Ave
Dubuque, IA 52002-2628

918 W Platt St
Suite 1
Maquoketa, IA 52060-2038

918 W Platt St
Suite 1
Maquoketa, IA 52060-2063
Phone (563) 652-5145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.44 of 100Reported as group
Quality
81.4
Improvement activities
40
Cost
79.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Maquoketa, P.C. Family Medicine CurrentSince Jul 29, 2006 Accepting new patients
Medical Associates of Maquoketa PC Family Medicine Current Accepting new patients
Medical Associates of Maquoketa PC Family Medicine CurrentSince Jul 29, 2006 Accepting new patients
Genesis Medical Education Foundation Inc Family Medicine Past Accepting new patients

Locations

918 W Platt St
Ste 1
Maquoketa, IA 52060
Phone (563) 652-5145

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72434
  • Direct secure messaging: kimberly.thompson@mamaq.directbygreenway.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1942252895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST # 1",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602038",
            "telephone_number": "563-652-5145",
            "fax_number": "563-652-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST # 1",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602038",
            "telephone_number": "563-652-5145",
            "fax_number": "562-652-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422618",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.thompson@mamaq.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical information",
            "address_1": "918 W Platt St # 1",
            "city": "Maquoketa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520602038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maquoketa, IA

Sources for this page

Verify at the official NPI Registry.