Kristin Rose Wolf, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R7928 Issued in TX

Practice address

508 Medical Center Blvd Ste 380
Conroe, TX 77304-2954

Phone

(281) 573-8333

Fax

(936) 703-5323

NPI assigned

Mar 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Rose Bunata Former name

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

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Sonabend MD PAGroup PAC ID 6901045665, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwolf654536@directhoustonmethodist.org

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.

• Michael Sonabend M.D., P.a.

  • Dermatology Physician
  • Houston, TX
  • NPI 1952642738
  Medicare reassignment Care Compare group NPD
• Complete Labs PLLC

  • Dermatopathology (Pathology) Physician
  • Sugar Land, TX
  • NPI 1477360410
  NPD

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194110072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD STE 380",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042954",
            "telephone_number": "281-573-8333",
            "fax_number": "936-703-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD STE 380",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042954",
            "telephone_number": "281-573-8333",
            "fax_number": "936-703-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KRISTIN",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-03-07",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R7928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BUNATA",
            "middle_name": "ROSE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Winnie-Stowell Hospital District
• Heather Amber Winter, RPH, PHARMD
• Pat A Wisniowiecki, RD,LD
• Anne S. Witson, M.D.
• WM Senior Care LLC
• Lance Everett Wolf, D.P.M.
• Duyen Wolken, PA
• Nina Womack
• Women of Essence Counseling Services PLLC
• Christopher Bun-Hung Wong, M.D.

• Dermatology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.