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KIMBERLY NKEMAKOLAM MD
NPI 1437578630
Internal Medicine in The Woodlands, TX

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
111 MEDICAL PLAZA DR, SUITE 250, THE WOODLANDS, TX 77380(281) 296-8788(281) 419-1291 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Nkemakolam Md NPPES

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

KIMBERLY NKEMAKOLAM MD (NPI 1437578630) is an individual internal medicine provider in The Woodlands, Texas, licensed in Texas (R2189) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437578630
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKIMBERLY NKEMAKOLAMCredential: MD
Location Address111 MEDICAL PLAZA DR, SUITE 250The Woodlands, TX 77380
Mailing Address1111 Medical Plaza Dr, Suite 250The Woodlands, TX 77380 · (281) 296-8788 · Fax (281) 419-1291
Phone(281) 296-8788
Fax(281) 419-1291
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateDecember 6, 2017
✔ NPI 1437578630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R2189
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 MEDICAL PLAZA DR, The Woodlands, TX 77380
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Nkemakolam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466724091
PECOS Enrollment IDI20170817000105
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Kimberly Nkemakolam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph Regional Health Center
63 mi
Family Medicine
2801 FRANCISCAN DR
Bryan, TX 77802
  • Reassigned Medicare billing, Texas enrollment
  • 141 clinicians in this Medicare group
NPI 1669557179 (979) 776-2426
Hospital Medicine Services Of Tx, PLLC
193 mi
Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 clinicians in this Medicare group
NPI 1881392363 (210) 575-4000
Questcare Hospitalists PLLC
204 mi
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000
Pinnacle Health Hospitalist Services LLC
1,260 mi
Hospitalist
4300 LONDONDERRY RD
Harrisburg, PA 17109
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 322 clinicians in this Medicare group
NPI 1023458148 (717) 231-8772
Hospitalist Physicians Of Massachusetts PC
1,573 mi
Hospitalist
115 LINCOLN ST
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 156 clinicians in this Medicare group
NPI 1376145680 (508) 383-1000
Alaska Native Tribal Health Consortium
3,245 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
161 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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 Nkemakolam's NPI number?

The NPI number for Kimberly Nkemakolam is 1437578630. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Kimberly Nkemakolam located?

Kimberly Nkemakolam practices at 111 Medical Plaza Dr Suite 250, The Woodlands, TX 77380. The listed phone number is (281) 296-8788.

What is Kimberly Nkemakolam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kimberly Nkemakolam enrolled in Medicare?

Yes. Kimberly Nkemakolam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Nkemakolam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Nkemakolam reassigns Medicare benefits to 6 organizations: St. Joseph Regional Health Center (Bryan, TX), Hospital Medicine Services Of Tx, PLLC (San Antonio, TX), Questcare Hospitalists PLLC (Dallas, TX), Pinnacle Health Hospitalist Services LLC (Harrisburg, PA), Hospitalist Physicians Of Massachusetts PC (Framingham, MA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Nkemakolam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Nkemakolam accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Kimberly Nkemakolam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Nkemakolam affiliated with any hospitals?

According to CMS data, Kimberly Nkemakolam is affiliated with Chi St Joseph Health Regional Hospital and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Kimberly Nkemakolam was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.