Active NPI
Kristopher Ryan Kohout
- Physician Assistant
- Athens, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17918
- Practice address
- 1115 E Tyler St
Athens, TX 75751-2145 - Phone
- (903) 292-5015
- Fax
- (903) 292-5021
- NPI assigned
- Aug 3, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17918 | TX | Primary |
Addresses
Primary practice location
1115 E Tyler St
Athens, TX 75751-2145
Mailing address
PO Box 95559
Grapevine, TX 76099-9707
Phone (405) 724-0574
Other practice location 1
110 S Main St
Boiling Springs, NC 28017-9797
Phone (704) 406-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 E Tyler St
Integrity Urgent Care
Athens, TX 75751-2145
Phone (903) 292-5015
1208 W Henderson St
Cleburne, TX 76033-8731
Phone (682) 317-1500
2857 W Washington St
Stephenville, TX 76401-3706
Phone (254) 965-5273
3201 University Dr E
135 Integrity Urgent Care
Bryan, TX 77802-3481
Phone (979) 703-1832
805 Hill Blvd
Unit 102
Granbury, TX 76048-1482
Phone (682) 205-3690
808 N Nolan River Rd
Integrity Urgent Care
Cleburne, TX 76033-7012
Phone (817) 526-5509
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| Ballantyne Emergency Physicians PLLC | Past | Accepting new patients |
Locations
1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Bonham, TX
- NPI 1063138741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1164032355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95559",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760999707",
"telephone_number": "405-724-0574",
"fax_number": "405-849-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E TYLER ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757512145",
"telephone_number": "903-292-5015",
"fax_number": "903-292-5021"
}
],
"practiceLocations": [
{
"address_1": "110 S Main St",
"address_purpose": "LOCATION",
"city": "Boiling Springs",
"state": "NC",
"postal_code": "280179797",
"country_code": "US",
"telephone_number": "704-406-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHOUT",
"first_name": "KRISTOPHER",
"middle_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-03",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.