Kimberly A. Addis, M.D.

NPI 1720064652ActiveIndividual· Radiology, Diagnostic Radiology· Longview, TX

Radiology, Diagnostic Radiology (M.D.) in Longview, Texas, trained at Pennsylvania State University College of Medicine (class of 1999). Medicare paid $60,596 for services to 1,431 patients in 2024. Stryker Corporation was the largest of 2 companies reporting payments in 2025, $82.35 in all, mostly food and beverage.

Overview

NPI	1720064652
Status	Active
Entity type	Individual
Credential	M.D.
Sole proprietor	No
NPI issued	Dec 22, 2005
Last updated in NPPES	Oct 13, 2015

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	M1466	TX
Radiology, Diagnostic Radiology	2085R0202X	DR.0050065	CO
Radiology, Vascular & Interventional Radiology	2085R0204X	M1446	TX
General Practice	208D00000X	M1446	TX

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Diagnostic Radiology (TX)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	1,431
Services billed	2,533 across 155 procedure codes
Paid by Medicare	$60,596

Medicare sources and data years

Education and affiliations

Medical school	Pennsylvania State University College of Medicine
Graduation year	1999
Medicare specialty	Diagnostic Radiology
Secondary specialties	Interventional Radiology