Active NPI
Katherine Root, MD
- Internal Medicine Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P4701
- Practice address
- 1000 E 5TH St
Suite 400
Tyler, TX 75701-3346 - Phone
- (903) 596-3500
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P4701 | TX | Primary |
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | P4701 | TX |
Addresses
Primary practice location
1000 E 5TH St
Suite 400
Tyler, TX 75701-3346
Mailing address
1000 E 5TH St
Suite 400
Tyler, TX 75701-3346
Phone (903) 596-3500
Other practice location 1
2231 W Gentry Pkwy
Tyler, TX 75702-2809
Phone (903) 535-9041
Other names 1
- Katherine Kennedy
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4701 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Tyler Family Circle of Care | Current | Accepting new patients | |
| Goodside Health Medical, PLLC | Internal Medicine | Past | Accepting new patients |
| Starks Medical | Past | Accepting new patients | |
| Tyler Family Circle of Care | Past | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
1000 E 5th St
Ste 400
Tyler, TX 75701
Phone (903) 593-1749
2231 W Gentry Pkwy
Tyler, TX 75702
Phone (903) 877-7343
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
523 S Fannin Ave
Tyler, TX 75702
13172 State Highway 64 E
Tyler, TX 75707
Phone (903) 566-2311
214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892
Interoperability endpoints
- kroot355054@ahs.direct-ci.com
- kroot255613@christushealth.direct-ci.net
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Federally Qualified Health Center (FQHC)
- Tyler, TX
- NPI 1144575820
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Rural Health Clinic/Center
- Overton, TX
- NPI 1689496812
-
- Primary Care Nurse Practitioner
- Bullard, TX
- NPI 1306570593
-
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1083932818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E 5TH ST",
"address_2": "SUITE 400",
"city": "TYLER",
"state": "TX",
"postal_code": "757013346",
"telephone_number": "903-596-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 5TH ST",
"address_2": "SUITE 400",
"city": "TYLER",
"state": "TX",
"postal_code": "757013346",
"telephone_number": "903-596-3500"
}
],
"practiceLocations": [
{
"address_1": "2231 W Gentry Pkwy",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757022809",
"country_code": "US",
"telephone_number": "903-535-9041",
"fax_number": "903-787-5098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOT",
"first_name": "KATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P4701",
"primary": true
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "TX",
"license": "P4701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "KENNEDY",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.