Active NPI
Kathryn Michelle Kudlaty, MD
- Otolaryngology Physician
- College Station, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- U6277
- Practice address
- 800 Scott and White Dr
College Station, TX 77845-6440 - Phone
- (979) 207-4000
- NPI assigned
- May 11, 2018
- Last updated
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | U6277 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 239069 | NC |
Addresses
Primary practice location
800 Scott and White Dr
College Station, TX 77845-6440
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkudlaty1217438@direct.sw.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Baylor College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
1700 University Dr E
College Station, TX 77840-2661
Phone (979) 691-3300
1700 University Dr E Entrance 16
Care Clinic College Station University Dr
College Station, TX 77840-2661
Phone (979) 207-3636
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
604 Hwy 290 W
Baylor Scott and White Clinic Brenh
Brenham, TX 77833-5432
Phone (979) 337-5400
700 Medical Pkwy
Brenham, TX 77833-5413
Phone (979) 836-6173
700 Scott and White Dr
College Station, TX 77845-6441
Phone (979) 207-0100
800 Scott and White Dr
College Station, TX 77845-6440
Phone (979) 207-4000
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
900 Scott and White Dr
College Station, TX 77845-6419
Phone (979) 207-7400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U6277 | TX | MD | Otolaryngology Physician |
| 239069 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Otolaryngology | Current | Accepting new patients |
| Scott & White Clinic | Otolaryngology | Current | Accepting new patients |
| Scott & White Clinic | Otolaryngology | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
800 Scott and White Dr
College Station, TX 77845
Phone (979) 207-3300
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Interoperability endpoints
- kkudlaty247175@directhisp.wakemed.org
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.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Otolaryngology
-
dba Baylor Scott & White Medical Center - Brenham
- Critical Access Hospital
- Brenham, TX
- NPI 1154315307
-
- Internal Medicine Physician
- Brenham, TX
- NPI 1295464949
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - College Station
- General Acute Care Hospital
- College Station, TX
- NPI 1265772362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1073003489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "800-994-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SCOTT AND WHITE DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778456440",
"telephone_number": "979-207-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDLATY",
"first_name": "KATHRYN",
"middle_name": "MICHELLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "U6277",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "239069",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkudlaty1217438@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "800 Scott and White Dr",
"city": "College Station",
"state": "TX",
"country_code": "US",
"postal_code": "778456440",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.