Individual provider Active NPI

Kyle H Friedman, MD

  • Anesthesiology Physician
  • Fort Sam Houston, TX
National Provider Identifier
1053303206
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L6045 Issued in TX
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 485-1850
Fax
(210) 539-9582
NPI assigned
Aug 15, 2005
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L6045 TX Primary
Anesthesiology Physician 207L00000X 11390 NV

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

PO Box 2408
San Antonio, TX 78298-2408
Phone (210) 485-1850

Other identifiers 1

IdentifierTypeStateIssuer
100505845MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901003001 TX Practitioner - Anesthesiology 3678543717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Anesthesia Services PLLCGroup PAC ID 6305255399, 27 clinicians

Practice addresses (Care Compare)

6200 Savoy Dr
Suite 1202
Houston, TX 77036-3397
Phone (888) 589-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36197TXMDClinical Neuropsychologist
11390NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Anesthesia Services PLLC Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
South Texas Anesthesia Group PLLC Anesthesiology CurrentSince Jan 18, 2022 Accepting new patients
Texas Anesthesia Team PLLC Anesthesiology CurrentSince Feb 16, 2022 Accepting new patients
John T Goodsell DO PC Gregory Linderer MD LTD Anesthesiology PastSince Nov 18, 2009 Accepting new patients
Plaza Anesthesia Consultants, PLLC Anesthesiology Past Accepting new patients
Plaza Anesthesia Group P.L.L.C. Anesthesiology Past Accepting new patients

Locations

6464 W Sunset Blvd
Ste 790
Los Angeles, CA 90028

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

6200 Savoy Dr
Ste 1202
Houston, TX 77036
Phone (254) 220-5560

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

19179 Blanco Rd
#105171
San Antonio, TX 78258

8706 Fredericksburg Rd
Ste 104
San Antonio, TX 78240
Phone (210) 714-2488

9709 Lakeside Blvd
Ste 350
Spring, TX 77381

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1053303206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2408",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982408",
            "telephone_number": "210-485-1850",
            "fax_number": "210-493-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-485-1850",
            "fax_number": "210-539-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "KYLE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L6045",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "11390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505845",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.