DR. KIMBERLY KAY PORTER (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1508962358

DR. KIMBERLY KAY PORTER (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 20583 (OK). The NPI Number for DR. KIMBERLY KAY PORTER (M.D.) is 1508962358

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY KAY PORTER (M.D.)
NPI
1508962358
Phone
(405) 525-0483
Address
2517 NW 13TH ST
Enumeration Date
16 September 2006
Last Update Date
4 May 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4056573120
Graduation Year
1994 (32 years ago)
PAC ID
2264596378
Group Practice PAC ID
4183067481
Professional Enrollment ID
I20090203000666
Address ID
OK731124518OK3524XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

31 GERIATRIC MEDICINE in OK

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Provider Addresses for DR. KIMBERLY KAY PORTER (M.D.)

  • 2517, Northwest 13th Street, Millers Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73107, United States

    OKLAHOMA CITY, OK 731074809

    Phone: (405) 525-0483

    Type: Mailing

  • Oklahoma City VA Health Care System, 921, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States

    OKLAHOMA CITY, OK 731045007

    Phone: (405) 270-0501

    Fax: (405) 270-5956

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090203000666IGeriatric MedicineOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5213$0
View full utilization report →

Insurance plans in this area (ZIP 73107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183067481View full group profile
NameSpecialtyState
General Practice, Family PracticeOK

Reviews

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Frequently asked questions

Can I cross-check DR. KIMBERLY KAY PORTER (M.D.) using NPI 1508962358?
NPI 1508962358 belongs to DR. KIMBERLY KAY PORTER (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. KIMBERLY KAY PORTER (M.D.)?
You should see DR. KIMBERLY KAY PORTER (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. KIMBERLY KAY PORTER (M.D.)?
DR. KIMBERLY KAY PORTER (M.D.) is associated with Geriatric Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KIMBERLY KAY PORTER (M.D.)?
Travel planning: use Oklahoma City, Oklahoma as the reference point for DR. KIMBERLY KAY PORTER (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. KIMBERLY KAY PORTER (M.D.) is noted as September 16, 2006 where the registry provides it.

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