NPIMap

Individual provider Active NPI

Kelly W. Blevins, M.D.

  • Orthopaedic Surgery Physician
  • The Woodlands, TX
National Provider Identifier
1073506739
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J9468 Issued in TX
Practice address
9305 Pinecroft Dr Ste 400
The Woodlands, TX 77380-3482
Phone
(713) 486-8800
Fax
(281) 367-1323
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X J9468 TX Primary

Addresses

Primary practice location

9305 Pinecroft Dr Ste 400
The Woodlands, TX 77380-3482

Mailing address

6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-8800

Other identifiers 1

IdentifierTypeStateIssuer
096697002MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kellyblevins@direct.utphysicians.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000019 TX Practitioner - Orthopedic Surgery 0547205775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians
Post Therapy LLCGroup PAC ID 6709311855, 28 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Houston, TX 77030-3005

8008 Ashlane Way
Suite 120
Spring, TX 77382-2106
Phone (281) 914-4679

8810 Hwy 6
Suite 100
Missouri City, TX 77459-7104
Phone (713) 486-1200

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement60
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 1, 2012 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2012 Accepting new patients

Locations

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

10333 Kuykendahl Rd
Ste D
The Woodlands, TX 77382
Phone (281) 362-7700

9305 Pinecroft Dr
Ste 400
The Woodlands, TX 77380
Phone (713) 486-8800

Interoperability endpoints

  • Direct secure messaging: kblevins12743@direct.uth.org

Organizations & group practices 3

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1073506739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-486-8800",
            "fax_number": "281-367-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 PINECROFT DR STE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803482",
            "telephone_number": "713-486-8800",
            "fax_number": "281-367-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "KELLY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J9468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096697002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellyblevins@direct.utphysicians.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10333 Kuykendahl Road",
            "address_2": "Suite D",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.