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KIM E PERSHALL MD PA
NPI 1649456542
Otolaryngology in Lubbock, TX

Active since January 10, 2008
3811 24TH STREET, LUBBOCK, TX 79410(806) 796-0202(806) 796-0496 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim E Pershall Md Pa NPPES

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

KIM E PERSHALL MD PA (NPI 1649456542) is a healthcare organization registered as an otolaryngology in Lubbock, Texas and active in the NPI registry since January 2008. The organization lists Kim E. Pershall, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1649456542
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameKIM E PERSHALL MD PA
Location Address3811 24TH STREETLubbock, TX 79410-1813
Mailing Address3811 24th StreetLubbock, TX 79410-1813 · (806) 796-0202 · Fax (806) 796-0496
Phone(806) 796-0202
Fax(806) 796-0496
Organization SubpartNo
Authorized OfficialKim E. PershallPhysician Owner · (806) 796-0202
Enumeration DateJanuary 10, 2008
Last NPPES UpdateJanuary 31, 2011
✔ NPI 1649456542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · J3574
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3811 24TH STREET, Lubbock, TX 79410
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Other Identifiers 8

Other121351100TX · Firstcare
Medicaid37234NM
Other8P8420TX · Bcbs
Other040007969TX · Rr Medicare
Other148127701TX · Medicaid Group
Medicare UPINC98030TX
Medicaid034333701TX
Medicare PIN0A3669TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim E Pershall Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kim E Pershall MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kim Pershall, MD
Otolaryngology
NPI 1497751663
3811 24TH STREET
Lubbock, TX 79410
(806) 796-0202
✔ PECOS✔ Accepts MedicareSame address
Brandi Murphy
Qualified Audiologist
NPI 1114387305
2614 130TH ST STE 31
Lubbock, TX 79423
(806) 743-5678
✔ Accepts Medicare6.7 mi

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

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 Kim E Pershall MD PA's NPI number?

The NPI number for Kim E Pershall MD PA is 1649456542. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Kim E Pershall MD PA located?

Kim E Pershall MD PA is located at 3811 24th Street, Lubbock, TX 79410. The listed phone number is (806) 796-0202.

What is Kim E Pershall MD PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kim E Pershall MD PA enrolled in Medicare?

Yes. Kim E Pershall MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kim E Pershall MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kim E Pershall MD PA, in Otolaryngology and Qualified Audiologist. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kim E Pershall MD PA was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.