DR. KIMBERLY KONE ELLIS M.D.
NPI 1700220936
Family Medicine in San Antonio, TX

Q: What is Kimberly Ellis's NPI number?

The NPI number for Kimberly Ellis is 1700220936. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Q: What is Kimberly Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ellis was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment

3939 MEDICAL DR, STE 100, SAN ANTONIO, TX 78229(210) 450-6120(210) 450-6161 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2019, Oct 13, 2016, Aug 18, 2016 (3 updates tracked since 2016).

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About Dr. Kimberly Kone Ellis M.d. NPPES

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

DR. KIMBERLY KONE ELLIS M.D. (NPI 1700220936) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (Q9179) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1700220936

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KIMBERLY KONE ELLISCredential: M.D.

Location Address3939 MEDICAL DR, STE 100San Antonio, TX 78229-2291

Mailing Address3939 Medical Dr Ste 100San Antonio, TX 78229-2292 · (210) 450-6120 · Fax (210) 450-6162

Phone(210) 450-6120

Fax(210) 450-6161

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 18, 2013

Last NPPES UpdateFebruary 5, 20193 updates tracked since enumeration

✔ NPI 1700220936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · Q9179

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.

3939 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 2

Other362107002TX · Cshcn

Medicaid362107001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Kone Ellis M.d. 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 ID6709170012

PECOS Enrollment IDI20160810000209

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

142 services92 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

68 services68 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

42 services29 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$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.

Other Providers at the Same Location NPPES 10

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

ELIOT J LOPEZ PHD

Psychologist (Clinical)

3939 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 450-6120

KIDNEY AND BLOOD PRESSURE CLINIC

Internal Medicine (Nephrology)

3939 MEDICAL DR, STE 110
SAN ANTONIO, TX 78229

Bexar County (210) 692-1515

MARIA F FERNANDEZ FALCON MD

Pediatrics

3939 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 450-6120

BRUCE ALBERT BROCKWAY MD

Internal Medicine (Nephrology)

3939 MEDICAL DR, 110
SAN ANTONIO, TX 78229

Bexar County (210) 692-1515

KIDNEY TREATMENT CENTER NORTHWEST P A

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3939 MEDICAL DR, STE 110
SAN ANTONIO, TX 78229

Bexar County (210) 692-3075

APRIL PATRICIA SHAW PA-C

Physician Assistant

3939 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 450-6120

PARIS AUERBACH BRINKLEY MD

Family Medicine

3939 MEDICAL DR
SAN ANTONIO, TX 78229

Bexar County (210) 450-6120

MRS. HELEN MARIE STARKWEATHER R.N., M.S.N., F.N.P.

Nurse Practitioner (Family)

3939 MEDICAL DR, SUITE 100
SAN ANTONIO, TX 78229

Bexar County (210) 450-6120

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 Ellis's NPI number?

The NPI number for Kimberly Ellis is 1700220936. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Kimberly Ellis located?

Kimberly Ellis practices at 3939 Medical Dr Ste 100, San Antonio, TX 78229. The listed phone number is (210) 450-6120.

What is Kimberly Ellis's specialty?

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

Is Kimberly Ellis enrolled in Medicare?

Yes. Kimberly Ellis 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.

What insurance does Kimberly Ellis accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Kimberly Ellis 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 Ellis affiliated with any hospitals?

According to CMS data, Kimberly Ellis is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Kimberly Ellis was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.