Individual provider Active NPI

Kelsey Carnahan, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1083140578
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T8779 Issued in TX
Practice address
12121 Westheimer Rd Ste 205
Houston, TX 77077-6654
Phone
(713) 773-0803
NPI assigned
May 3, 2017
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X T8779 TX Primary

Addresses

Primary practice location

12121 Westheimer Rd Ste 205
Houston, TX 77077-6654

Mailing address

7001 Corporate Dr Ste 120
Houston, TX 77036-5113

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
I20220813000712 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8527441286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Louisville School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7001 Corporate Dr
Suite 120
Houston, TX 77036-5113
Phone (713) 773-0803

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T8779TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Aug 1, 2022 Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Aug 1, 2022 Accepting new patients
Asian American Health Coalition of the Greater Houston Area Past Accepting new patients

Locations

12121 Westheimer Rd
Ste 205
Houston, TX 77077

13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 333-7273

7001 Corporate Dr
Ste 120
Houston, TX 77036
Phone (713) 333-7273

Organizations & group practices 4

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1083140578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WESTHEIMER RD STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776654",
            "telephone_number": "713-773-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T8779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.