Individual provider Active NPI

Katherine Root, MD

  • Internal Medicine Physician
  • Tyler, TX
National Provider Identifier
1083932818
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4701 Issued in TX
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

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20130916000064 TX Practitioner - Internal Medicine 2567606445 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4701TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince May 1, 2020 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince May 1, 2020 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Tyler Family Circle of Care CurrentSince Jul 1, 2021 Accepting new patients
Goodside Health Medical, PLLC Internal Medicine Past Accepting new patients
Starks Medical Past Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 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

  • Direct secure messaging: kroot355054@ahs.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.