Active NPI
Joel Kerschenbaum, MD
- Family Medicine Physician
- The Woodlands, TX
National Provider Identifier
1124115167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F0542
- Practice address
- 17521 St Lukes Way
Suite 190
The Woodlands, TX 77384-8039 - Phone
- (281) 719-5446
- NPI assigned
- Oct 10, 2006
- Last updated
- Feb 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F0542 | TX | Primary |
Addresses
Primary practice location
17521 St Lukes Way
Suite 190
The Woodlands, TX 77384-8039
Mailing address
17521 St Lukes Way
Suite 190
The Woodlands, TX 77384-8039
Phone (281) 719-5446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0542 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sadler Clinic Association | Past | Accepting new patients |
Interoperability endpoints
- joel.kerschenbaum.p1@direct.woodlandsfamilymed.nextgenshare.com
Organizations & group practices 1
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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1124115167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17521 ST LUKES WAY",
"address_2": "SUITE 190",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773848039",
"telephone_number": "281-719-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17521 ST LUKES WAY",
"address_2": "SUITE 190",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773848039",
"telephone_number": "281-719-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSCHENBAUM",
"first_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F0542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.