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KIMBERLY R. PENGRA PA
NPI 1407164742
Physician Assistant in Katy, TX

Active since September 21, 2010PECOS Enrolled
23222 KINGSLAND BLVD, SUITE A, KATY, TX 77494(281) 693-0084(281) 693-0093 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly R. Pengra Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY R. PENGRA PA (NPI 1407164742) is an individual physician assistant in Katy, Texas and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bellaire, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1407164742
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY R. PENGRACredential: PA
Location Address23222 KINGSLAND BLVD, SUITE AKaty, TX 77494-3033
Mailing Address23222 Kingsland Blvd, Suite AKaty, TX 77494-3033 · (281) 693-0084 · Fax (281) 693-0093
Phone(281) 693-0084
Fax(281) 693-0093
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 21, 2010
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1407164742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
23222 KINGSLAND BLVD, Katy, TX 77494
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Secondary Practice Location 1

Location 16565 West Loop S Ste 525Bellaire, TX 77401-3519 · Phone (713) 661-7888

Other Identifiers 1

Other1407164742TX · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly R. Pengra Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941498893
PECOS Enrollment IDI20101220000906
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77494 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANOBER M TAMBOLI MD
Allergy & Immunology
23222 KINGSLAND BLVD, SUITE A
KATY, TX 77494
Fort Bend County (281) 693-0084
ALEXIS CHARMELLE SANDERS
Physician Assistant
23222 KINGSLAND BLVD, SUITE A
KATY, TX 77494
Fort Bend County (281) 693-0084
NAF PHYSICAL THERAPY INC
Physical Medicine & Rehabilitation
23222 KINGSLAND BLVD, SUITE H
KATY, TX 77494
Fort Bend County (281) 347-5050
PERLALITA SULIT PT
Physical Therapist
23222 KINGSLAND BLVD, SUITE H
KATY, TX 77494
Fort Bend County (281) 347-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Pengra's NPI number?

The NPI number for Kimberly Pengra is 1407164742. It was assigned to this individual provider in the NPPES registry on September 21, 2010.

Where is Kimberly Pengra located?

Kimberly Pengra practices at 23222 Kingsland Blvd Suite A, Katy, TX 77494. The listed phone number is (281) 693-0084.

What is Kimberly Pengra's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Pengra enrolled in Medicare?

Yes. Kimberly Pengra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Pengra was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.