NPI age
20 years
Enumerated 2005-06-22
● Active
Type 1 · Individual
DR. Kim E Pershall, MD
Pershall is 1 of 15 otolaryngology providers in Lubbock and 1 of 1024 in Texas.
Primary specialty
Otolaryngology
Plus 4 subspecialties
Licensed in
TX, NM
2 states
Status
Active
No deactivations on record
Last NPPES update
2011-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1024 active otolaryngology providers in Texas.
NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
3
In the 30% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
3811 24th Street
Lubbock, TX 794101813
Mailing address
3811 24th Street
Lubbock, TX 794101813
Specialties
-
Otolaryngology PrimaryAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
-
OtolaryngologyAn otolaryngologist who specializes in facial plastic surgery.
-
OtolaryngologyAn otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
-
SpecialistAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 121351100 | FIRSTCARE |
| 05 (TX) | 034333701 | |
| 01 (TX) | 8P8420 | BCBS TX |
| 05 (NM) | 37234 | |
| 01 (TX) | 8F21125 | MEDICARE PTAN |
| 01 (TX) | 148127701 | MEDICAID GROUP |
| 01 (TX) | 040007969 | RAILROAD MEDICARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.