Kelly L Wimberly MD PA
NPI 1578589842 · Family Medicine Physician · Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly L Wimberly MD PA is a Family Medicine Physician organization in Dallas, TX (NPI 1578589842).
Provider details
- NPI number
- 1578589842
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Wimberly, Owner(972) 239-4441
- License
- J3002 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2008-07-24
Frequently asked questions
- What is Kelly L Wimberly MD PA's NPI number?
- Kelly L Wimberly MD PA's National Provider Identifier (NPI) is 1578589842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly L Wimberly MD PA?
- Kelly L Wimberly MD PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly L Wimberly MD PA located?
- Kelly L Wimberly MD PA's practice location on file with NPPES is 17101 Preston Rd, Dallas, TX 75248-1331.
- What is Kelly L Wimberly MD PA's phone number?
- The practice phone number listed in the NPPES registry for Kelly L Wimberly MD PA is (972) 239-4441.
- Does Kelly L Wimberly MD PA accept Medicare?
- Kelly L Wimberly MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kelly L Wimberly MD PA?
- The authorized official listed on Kelly L Wimberly MD PA's NPPES record is Kelly Wimberly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly L Wimberly MD PA's NPI active?
- Yes — Kelly L Wimberly MD PA's NPI (1578589842) is active in the NPPES registry as of the last update on 2008-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.