Individual provider Active NPI

Kyle Matthew Hodges, MD

  • Psychiatry Physician
  • Temple, TX
National Provider Identifier
1134756455
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T3304 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-3011
Phone
(254) 724-2111
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T3304 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-3011

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khodges519198@direct.sw.org Direct

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
I20220831000479 TX Practitioner - Psychiatry 4880015650 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluebonnet Trails Community MHMR CenterGroup PAC ID 5799775409, 59 clinicians
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1009 N Georgetown St
Round Rock, TX 78664-3289
Phone (512) 255-1720

12505 Lebanon Rd
Frisco, TX 75035-8298
Phone (972) 963-3333

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1901 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 724-5437

1901 SW H K Dodgen LP BLDG
300 Baylor Scott and White McLane Childre
Temple, TX 76502-1814
Phone (254) 724-5437

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T3304TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collin County Mental Health Mental Retardation Center Psychiatry CurrentSince Aug 10, 2022 Accepting new patients
Camino Real Community MHMR Center CurrentSince Sep 1, 2023 Accepting new patients
Temple Behavioral Healthcare Hospital Inc CurrentSince Nov 9, 2022 Accepting new patients
Burke Center Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Scott & White Clinic Psychiatry Current Accepting new patients
Scott & White Clinic Psychiatry CurrentSince Sep 8, 2022 Accepting new patients
Lubbock Regional MHMR Center Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Nov 15, 2022 Accepting new patients
Temple Behavioral Healthcare Hospital Inc Psychiatry CurrentSince Nov 9, 2022 Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS Current Accepting new patients
Tri-County Behavioral Healthcare CurrentSince Sep 23, 2022 Accepting new patients
Texana Center CurrentSince Aug 31, 2023 Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS CurrentSince Nov 1, 2023 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Nov 15, 2022 Accepting new patients
Scott & White Clinic Psychiatry CurrentSince Sep 8, 2022 Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

1515 Heritage Dr
Ste 105
McKinney, TX 75069
Phone (972) 562-0331

7308 Alma Dr
Plano, TX 75025
Phone (972) 422-5939

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

304 S 22nd St
Temple, TX 76501
Phone (254) 298-7000

2401 S 31st St
#22117D
Temple, TX 76508
Phone (254) 724-1768

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: khodges519198@direct.sw.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1134756455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765083011",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "KYLE",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khodges519198@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765083011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.