KIM ALMODOVAR MD NPI 1831160316

Internal Medicine (Gastroenterology) in Phoenix, AZ

NPI 1831160316 Individual Female Years of Experience 40 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About KIM ALMODOVAR

Kim Almodovar is an internal medicine provider established in Phoenix, Arizona and her medical specialization is internal medicine (gastroenterology) with more than 40 years of experience. The NPI number of Kim Almodovar is 1831160316 and was assigned on January 2006. The practitioner's primary taxonomy code is 207RG0100X with license number 63580 (AZ). The provider is registered as an individual and her NPI record was last updated September 2021.

An internist like Kim Almodovar Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Kim Almodovar is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kim Almodovar is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Ascension Providence Rochester Hospital, Gundersen Lutheran Medical Center, Ascension St John Hospital, Mclaren Lapeer Region and Beaumont Hospital, Troy.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, implementation of medication management practice improvements and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1831160316

Provider Name KIM ALMODOVAR MD
Provider Location Address500 W THOMAS RD STE 100 PHOENIX, AZ 85013
Provider Mailing AddressPO BOX 33269 PHOENIX, AZ 85067
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1982
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-31-2006
Last Update Date09-07-2021


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.63580
License StateAZ
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

KIM ALMODOVAR MD
500 W THOMAS RD STE 100
PHOENIX, AZ
ZIP 85013
Phone: (602) 406-1510
Fax: (602) 406-7277

Get Directions


Mailing Address

KIM ALMODOVAR MD
PO BOX 33269
PHOENIX, AZ
ZIP 85067
Phone: (602) 406-4786
Fax: (916) 636-4358



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7618031782
PECOS Enrollment IDI20090204000492, I20210223001666
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 96Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 35Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 16Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 13Diagnostic examination of large bowel using an endoscope (HCPCS:45378)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kim Almodovar is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ASCENSION PROVIDENCE ROCHESTER HOSPITAL1101 W UNIVERSITY DRIVE
ROCHESTER, MI 48307
(248) 652-5000Acute Care Hospitals230254
GUNDERSEN LUTHERAN MEDICAL CENTER1910 SOUTH AVE
LA CROSSE, WI 54601
(608) 782-7300Acute Care Hospitals520087
ASCENSION ST JOHN HOSPITAL22101 MOROSS RD
DETROIT, MI 48236
(313) 343-4000Acute Care Hospitals230165
MCLAREN LAPEER REGION1375 N MAIN ST
LAPEER, MI 48446
(810) 667-5582Acute Care Hospitals230193
BEAUMONT HOSPITAL, TROY44201 DEQUINDRE ROAD
TROY, MI 48085
(248) 964-8800Acute Care Hospitals230269

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology4301053408MINo

Taxonomy Description: an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology1082WINo

Taxonomy Description: an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4149444MEDICAID (05)MI
0Q26284OTHER (01)MI

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942749379 KELLY HORTEL FNP
Individual
Nurse Practitioner (Family)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-5483
1336535517MRS. MICHELLE RENEE BROWN AGACNP-BC
Individual
Nurse Practitioner (Acute Care)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-5483
1700898590 JAMES R SPIVEY M.D.
Individual
Internal Medicine (Transplant Hepatology)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-1510
1124173349 WAEL ISMAIL YOUSSEF MD
Individual
Internal Medicine (Gastroenterology)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-1510
1598981979 SAVIO REDDYMASU MD
Individual
Internal Medicine (Gastroenterology)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-1510
1104087881 JULIA LYNN MELVIN FNP-C
Individual
Family Medicine500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-1510
1124507785 ANNA DANIELLE CRAMER FNP-C
Individual
Nurse Practitioner (Family)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-1510
1568642353DR. JUSTIN AARON REYNOLDS M.D.
Individual
Internal Medicine (Gastroenterology)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-5483
1669543633 ALAN J. SHEINBAUM MD
Individual
Internal Medicine (Gastroenterology)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-5483
1508283706 SARABDEEP MANN M.D.
Individual
Internal Medicine500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-1510
1942716725 AMY MILMINE-STEIN FNP
Individual
Nurse Practitioner (Family)500 W THOMAS RD STE 100
PHOENIX, AZ 85013
(602) 406-5483

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.