Individual provider Active NPI

Kai Baylen Tubb, MD

  • Emergency Medicine Physician
  • Kingwood, TX
National Provider Identifier
1225615875
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U6594 Issued in TX
Practice address
22999 Highway 59 N
Kingwood, TX 77339-4412
Phone
(281) 348-8000
NPI assigned
Mar 28, 2021
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X BP10076429 TX
Emergency Medicine Physician 207P00000X U6594 TX Primary

Addresses

Primary practice location

22999 Highway 59 N
Kingwood, TX 77339-4412

Mailing address

22999 Highway 59 N
Kingwood, TX 77339-4412
Phone (281) 348-8000

Other practice location 1

8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500

Other practice location 2

719 W Coke Rd
Winnsboro, TX 75494-3011
Phone (903) 342-5227

Other practice location 3

3203 S Main St
Lindale, TX 75771-7727
Phone (903) 266-4000

Other practice location 4

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-5678

Other practice location 5

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-4262

Other practice location 6

1509 S Palestine Street
Athens, TX 75751
Phone (903) 606-4262

Other practice location 7

8901 Fm 1960 Bypass Rd W Ste 105
Humble, TX 77338-4019
Phone (281) 964-2800

Other practice location 8

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231102002876 TX Practitioner - Emergency Medicine 4082023478 Reassigns benefits to 7 organizations
I20251023003536 OK Practitioner - Emergency Medicine 4082023478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Titanium Emergency Group LLPGroup PAC ID 4486639705, 9 clinicians
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians
Ies Oklahoma LLCGroup PAC ID 2769824937, 16 clinicians

Practice addresses (Care Compare)

1509 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-6909

1600 11TH St
Wichita Falls, TX 76301-4300
Phone (940) 764-7000

4215 Joe Ramsey E Blvd
Greenville, TX 75401-7852
Phone (903) 408-5000

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Titanium Emergency Group LLP Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Trincare Inc Current Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Nov 13, 2023 Accepting new patients
Elite Hospital Partners of Oklahoma Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 18, 2023 Accepting new patients
Ies Oklahoma LLC Emergency Medicine CurrentSince Sep 13, 2025 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Sep 18, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 18, 2023 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Sep 18, 2023 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Dec 20, 2023 Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1509 State Highway 19 S
Athens, TX 75751
Phone (903) 606-4262

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7671

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

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3710

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: ktubb77116@unitedregional.medalliesdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1225615875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "281-348-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "281-348-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8389 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035408",
            "country_code": "US",
            "telephone_number": "903-606-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 W Coke Rd",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "TX",
            "postal_code": "754943011",
            "country_code": "US",
            "telephone_number": "903-342-5227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3203 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757717727",
            "country_code": "US",
            "telephone_number": "903-266-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-586-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-4262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 S Palestine Street",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "75751",
            "country_code": "US",
            "telephone_number": "903-606-4262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 Fm 1960 Bypass Rd W Ste 105",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384019",
            "country_code": "US",
            "telephone_number": "281-964-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUBB",
        "first_name": "KAI",
        "middle_name": "BAYLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-28",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10076429",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U6594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.