Individual provider Active NPI

Kevin Andrew Hough, D.O.

  • Internal Medicine Physician
  • Snyder, TX
National Provider Identifier
1174581870
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R6209 Issued in TX
Practice address
1700 Cogdell Blvd
Snyder, TX 79549
Phone
(325) 573-1300
Fax
(325) 574-6987
NPI assigned
May 2, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT016554 PA
Physician Assistant 363A00000X 5708467-1206 UT
Internal Medicine Physician 207R00000X R6209 TX Primary

Addresses

Primary practice location

1700 Cogdell Blvd
Snyder, TX 79549

Mailing address

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 573-1300

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
I20180329000641 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 9638145113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scurry County Hospital DistrictGroup PAC ID 7012987589, shared by 4 NPIs, 21 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 574-7439

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5708467-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scurry County Hospital District CurrentSince May 18, 2018 Accepting new patients
Scurry County Hospital District CurrentSince May 18, 2018 Accepting new patients
Scurry County Hospital District Current Accepting new patients
Scurry County Hospital District Past Accepting new patients
Snow Canyon Clinic, Inc. PastSince Sep 1, 2005 Accepting new patients
Revere Health PC Past Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients
Scurry County Hospital District Past Accepting new patients

Locations

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

1700 Cogdell Blvd
Ste Rhc
Snyder, TX 79549

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cogdell Memorial HospitalSnyder, TX, CCN 451384 Hospital Corporate Director Jun 7, 2024
Cogdell Memorial HospitalSnyder, TX, CCN 45Z384 Hospital Corporate Director Jun 7, 2024
Avir at SnyderSnyder, TX, CCN 675646 Skilled nursing facility Adp of the SNF Jul 1, 2022
Home Health of West Texas, LLCSnyder, TX, CCN 457656 Home health agency Contracted Managing Employee Apr 1, 2025
West Texas Hospice, LLCSnyder, TX, CCN 741703 Hospice Contracted Managing Employee Apr 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 10

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1174581870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496162",
            "telephone_number": "325-573-1300",
            "fax_number": "325-574-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "79549",
            "telephone_number": "325-573-1300",
            "fax_number": "325-574-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGH",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT016554",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5708467-1206",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R6209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

Verify at the official NPI Registry.