DR. KIMBERLY A. ADDIS M.D. NPI 1720064652

NPI Information

  • NPI: 1720064652
  • Provider Name: DR. KIMBERLY A. ADDIS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4777 US HIGHWAY 259
    LONGVIEW, TX
    ZIP 75605
  • Phone: (903) 663-7393

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NPI Details

DR. Kimberly A. Addis, M.D. is a diagnostic radiology radiology in Longview, TX with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kimberly A. Addis, M.D. NPI is 1720064652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

4777 US HIGHWAY 259
LONGVIEW, TX
ZIP 75605-668
Phone: (903) 663-7393
Fax: (903) 663-7394

The NPI 1720064652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Insertion of needle into vein (3 years or older) (HCPCS:36410)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Screening mammography (HCPCS:77067)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Screening 3d breast mammography (HCPCS:77063)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)

The enumeration date for this NPI number is 12/22/2005 and was last updated on 10/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyDR.0050065COLORADONo
22085R0204XRadiologyVascular & Interventional RadiologyM1446TEXASNo
3208D00000XGeneral PracticeM1446TEXASNo
42085R0202XRadiologyDiagnostic RadiologyM1466TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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