KIMANDA BALLARD — NPI 1184424210 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound in OWASSO, OK)

CMS-1500 Box 24J / 33a • NPI

1184424210

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2085U0001X (CMS 30)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound

Box 32 Service Location & ZIP+4

9102 N GARNETT RD, OWASSO, OK, 74055-4470

✓ 9-Digit EDI 837 ZIP+4 (74055-4470)

Practice Phone & Referral Fax

(918) 516-2524

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184424210 (KIMANDA BALLARD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1184424210` (NPI-1 Individual Practitioner)
Provider / Legal Name	KIMANDA BALLARD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound NUCC Code: `2085U0001X` (Radiology, Diagnostic Ultrasound)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9102 N GARNETT RD, OWASSO, OK, 74055-4470
Practice Telephone / Fax	Tel: (918) 516-2524
Administrative Mailing Address	16560 RANCHLAND RD, SKIATOOK, OK, 74070-6001
Enumeration & Last Sync	Enumerated: 2025-03-17 \| CMS Record Updated: 2025-03-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9102 N GARNETT RD, OWASSO, OK, 74055-4470

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Plain-English Taxonomy & CMS Crosswalk (2085U0001X)

What Does Taxonomy Code 2085U0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085U0001X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 30 (Physician/Diagnostic Radiology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiology, Diagnostic Ultrasound for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KIMANDA BALLARD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085U0001X` — Radiology, Diagnostic Ultrasound Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound	State: OK \| License: `152638` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KIMANDA BALLARD (NPI #1184424210)