Individual provider Active NPI

Kyle H Fehlis, M.D.

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1215167119
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7921 Issued in TX
Practice address
457 Landa St Ste C
New Braunfels, TX 78130-5414
Phone
(830) 627-9088
Fax
(833) 973-1245
NPI assigned
Jul 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10034625 TX
Family Medicine Physician 207Q00000X N7921 TX Primary

Addresses

Primary practice location

457 Landa St Ste C
New Braunfels, TX 78130-5414

Mailing address

PO Box 311627
New Braunfels, TX 78131-1627
Phone (830) 625-0305

Other identifiers 7

IdentifierTypeStateIssuer
00R38TOtherGROUP MEDICARE
1952326993OtherGROUP NPI
220194901MedicaidTX
1H0127OtherTXMEDICARE
126961501OtherGROUP MEDICAID
P02569420OtherTXMEDICARE RAILROAD
TXB156234OtherMEDICARE PTAN

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
I20120724000737 TX Practitioner - Family Practice 2062678725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

457 Landa St
Suite C
New Braunfels, TX 78130-5414
Phone (830) 627-9088

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions14
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034625TXMDFamily Medicine Physician
N7921TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2020 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Kyle H Fehlis PLLC Family Medicine CurrentSince Aug 30, 2024 Accepting new patients

Locations

457 Landa St
Ste C
New Braunfels, TX 78130
Phone (830) 626-5535

774 Landa St
New Braunfels, TX 78130
Phone (830) 625-0298

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: kfehlis234041@christushealth.direct-ci.net
  • Direct secure messaging: kyle.fehlis.1@31585.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1215167119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311627",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311627",
            "telephone_number": "830-625-0305",
            "fax_number": "830-625-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 LANDA ST STE C",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305414",
            "telephone_number": "830-627-9088",
            "fax_number": "833-973-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHLIS",
        "first_name": "KYLE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10034625",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "00R38T",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1952326993",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220194901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1H0127",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "126961501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P02569420",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB156234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.