Active NPI
Kristen M. Ogg, DO
- Pediatric Anesthesiology Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- N0326
- Practice address
- 4821 Merlot Avenue
Suite 210
Grapevine, TX 76051 - Phone
- (972) 867-3627
- Fax
- (817) 421-7560
- NPI assigned
- May 25, 2007
- Last updated
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | N0326 | TX | Primary |
Addresses
Primary practice location
4821 Merlot Avenue
Suite 210
Grapevine, TX 76051
Mailing address
4000 Sigma Rd Apt 1404
Farmers Branch, TX 75244-8116
Phone (216) 233-3021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208212501 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ohio University, College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-9250
3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (214) 252-3535
400 Chisholm PL
Suite 114
Plano, TX 75075-6957
Phone (972) 588-4541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0326 | TX | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| Greater Texas Anesthesia Consultants PLLC | Current | Accepting new patients | |
| Metropolitan Anesthesia Consultants, LLP | Current | Accepting new patients | |
| Complex Care Medical Services Corporation | Past | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
12200 Park Central Dr
Ste 300
Dallas, TX 75251
Phone (972) 661-0505
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
1935 Medical District Dr
#411
Dallas, TX 75235
3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
470 E State Highway 114
Southlake, TX 76092
Phone (214) 450-9926
Interoperability endpoints
- kogg191362@direct.childrens.com
Organizations & group practices 5
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.
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Anesthesiology Physician
- Plano, TX
- NPI 1588201073
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1902859697
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1144431644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 SIGMA RD APT 1404",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752448116",
"telephone_number": "216-233-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4821 MERLOT AVENUE",
"address_2": "SUITE 210",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "972-867-3627",
"fax_number": "817-421-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGG",
"first_name": "KRISTEN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "TX",
"license": "N0326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208212501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
- Jovita Nkeiruka Obi
- Stephen Barry Obrien, DDS
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Betty Odeyingbo
- Shajna Charli'Z Ogbolu, RN
- Valencia Monita Oglesby, DO
- Olivia Wedel Counseling & Consulting, PLLC
- Morenike Naomi Salone Olorunnisomo, LPC-ASSOCIATE
- Omnicell Specialty Pharmacy Services, Inc.
- Omotayo Onanuga, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.