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DR. KIMBERLY BLAIR CALDWELL M.D.
NPI 1609001346
Family Medicine in Apo, AP

Active since May 26, 2009PECOS Enrolled
PSC 80 BOX 10838, APO, AP 96367(314) 676-3141 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kimberly Blair Caldwell M.d. NPPES

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

DR. KIMBERLY BLAIR CALDWELL M.D. (NPI 1609001346) is an individual family medicine provider in Apo, AP, licensed in Hawaii (MD16016) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2009).

NPPES Registry Identity

NPI1609001346
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY BLAIR CALDWELLCredential: M.D.
Location AddressPSC 80 BOX 10838Apo, AP 96367-0011
Mailing AddressPsc 80 Box 10838Apo, AP 96367-0011 · (314) 676-3141
Phone(314) 676-3141
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2009
Enumeration DateMay 26, 2009
Last NPPES UpdateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1609001346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in HI · MD16016
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 0101265832 (VA)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Blair Caldwell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264601558
PECOS Enrollment IDI20190615000280, I20240612000846, I20240710001076, I20240730001079, I20241031002962, I20260127004445
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

10

Medicare enrollment records show Kimberly Caldwell reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 4 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Emerus Inpatient Providers Sc
Emergency Medicine
8686 NEW TRAILS DR STE 100
The Woodlands, TX 77381
  • Reassigned Medicare billing, Wisconsin enrollment
  • 27 clinicians in this Medicare group
NPI 1881365609 (713) 637-1146
Emerus Nevada Inpatient Providers PLLC
Emergency Medicine
1550 W CRAIG RD STE 100
North Las Vegas, NV 89032
  • Reassigned Medicare billing, Nevada enrollment
  • 33 clinicians in this Medicare group
NPI 1720759541 (702) 777-3615
Emerus Oklahoma Hospitalists PLLC
Emergency Medicine
9417 N COUNCIL RD
Oklahoma City, OK 73162
  • Reassigned Medicare billing, Oklahoma enrollment
  • 30 clinicians in this Medicare group
NPI 1124799952 (136) 371-1467
Emerus Pennsylvania Inpatient Providers PLLC
Emergency Medicine
1015 W BALTIMORE PIKE
West Grove, PA 19390
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
NPI 1700676434 (484) 899-9930
Leading Edge Emergency Physicians, Inc
Emergency Medicine
16088 SAN PEDRO AVE
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1003165259 (877) 346-2211
Methodist Medical Center Of Illinois
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Virginia enrollment
  • 3 clinicians in this Medicare group
NPI 1164474755 (309) 672-5522
Tidewater Physicians Multispecialty Group PC
Family Medicine
860 OMNI BLVD STE 401
Newport News, VA 23606
  • Reassigned Medicare billing, Virginia enrollment
  • 351 clinicians in this Medicare group
NPI 1902848294 (757) 232-8764
Vituity-Virginia Hospitalists PC
Hospitalist
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 172 clinicians in this Medicare group
NPI 1518611011 (804) 285-2011
Wellmed Networks, Inc.
Cardiovascular Disease
7622 LOUIS PASTEUR, SUITE 100
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 233 clinicians in this Medicare group
NPI 1386948677 (210) 588-0122

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 3

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 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.
66 services66 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.
50 services50 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

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 Caldwell's NPI number?

The NPI number for Kimberly Caldwell is 1609001346. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Kimberly Caldwell located?

Kimberly Caldwell practices at Psc 80 Box 10838, Apo, AP 96367. The listed phone number is (314) 676-3141.

What is Kimberly Caldwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Caldwell enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Caldwell reassigns Medicare benefits to 10 organizations: Carle Health Medical Group (Urbana, IL), Emerus Inpatient Providers Sc (The Woodlands, TX), Emerus Nevada Inpatient Providers PLLC (North Las Vegas, NV), Emerus Oklahoma Hospitalists PLLC (Oklahoma City, OK), Emerus Pennsylvania Inpatient Providers PLLC (West Grove, PA) and 5 more organizations, 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 Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Caldwell accept?

Health plans from Blue Cross and Blue Shield of Texas list Kimberly Caldwell 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 Caldwell affiliated with any hospitals?

According to CMS data, Kimberly Caldwell is affiliated with Mary Immaculate Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Caldwell was last updated on August 19, 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.