Individual provider Active NPI

Kevin L Hudson, D.O.

  • Cardiovascular Disease Physician
  • Lufkin, TX
National Provider Identifier
1174509301
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H4425 Issued in TX
Practice address
310 Gaslight Blvd
Lufkin, TX 75904-3133
Phone
(936) 632-8787
Fax
(936) 632-8832
NPI assigned
Dec 20, 2005
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H4425 TX Primary
Interventional Cardiology Physician 207RI0011X H4425 TX

Addresses

Primary practice location

310 Gaslight Blvd
Lufkin, TX 75904-3133

Mailing address

310 Gaslight Blvd
Lufkin, TX 75904-3133
Phone (936) 632-8787

Other practice location 1

1105 W Frank Ave
Lufkin, TX 75904-3303
Phone (936) 632-8787

Other practice location 2

1111 Worth St
Hemphill, TX 75948-7223
Phone (936) 632-8787

Other practice location 3

505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 632-8787

Other identifiers 1

IdentifierTypeStateIssuer
138810002MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000220 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Emergency MedicinePractitioner - Family Practice 2860400967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of North Texas HSC, College of Osteopathic Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

1201 W Frank Ave
Lufkin, TX 75904-3357
Phone (936) 632-8787

17198 St Lukes Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

17350 St Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone (281) 444-3278

20207 Chasewood Park Dr
Houston, TX 77070-1442

310 Gaslight Blvd
Lufkin, TX 75904-3133
Phone (936) 632-8787

505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 632-8787

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke's Medical Group Cardiovascular Disease CurrentSince Nov 1, 2017 Accepting new patients

Locations

1111 Worth St
Hemphill, TX 75948
Phone (409) 787-1707

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

310 Gaslight Blvd
Lufkin, TX 75904

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

600 E Hospital St
San Augustine, TX 75972
Phone (936) 275-4420

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: k.hudson@direct.hiet.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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1174509301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043133",
            "telephone_number": "936-632-8787",
            "fax_number": "936-632-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043133",
            "telephone_number": "936-632-8787",
            "fax_number": "936-632-8832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 W Frank Ave",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043303",
            "country_code": "US",
            "telephone_number": "936-632-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Worth St",
            "address_purpose": "LOCATION",
            "city": "Hemphill",
            "state": "TX",
            "postal_code": "759487223",
            "country_code": "US",
            "telephone_number": "936-632-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S John Redditt Dr",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043120",
            "country_code": "US",
            "telephone_number": "936-632-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H4425",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "H4425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138810002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.