Active NPI
Kindrell S Tucker, M.D.
- Family Medicine Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q3822
- Practice address
- 305 Shands Dr
Lufkin, TX 75904-2885 - Phone
- (936) 225-3657
- Fax
- (936) 899-7293
- NPI assigned
- Jul 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q3822 | TX | Primary |
Addresses
Primary practice location
305 Shands Dr
Lufkin, TX 75904-2885
Mailing address
PO Box 154137
Lufkin, TX 75915-4137
Phone (936) 225-3657
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245586296 | Other | TYPE I NATIONAL PROVIDER IDENTIFIER | |
| 1467988600 | Other | TYPE II NATIONAL PROVIDER IDENTIFIER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
305 Shands Dr
Lufkin, TX 75904-2885
Phone (936) 225-3657
Hospital & facility affiliations
- Woodland Heights Medical Center
- CHI St Lukes Health Memorial Lufkin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindrell S. Tucker, MD, PA | Family Medicine | Current | Accepting new patients |
| Lufkin Physician Services PA | Current | Accepting new patients |
Locations
1320 S John Redditt Dr
Ste B
Lufkin, TX 75904
Phone (936) 225-3657
505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200
305 Shands Dr
Lufkin, TX 75904
Phone (936) 225-3657
Interoperability endpoints
- kindrell.tucker.1@16092.direct.athenahealth.com
- https://api.platform.athenahealth.com/16092/brand/3/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lufkin, TX
- NPI 1467988600
-
- Hospitalist Physician
- Lufkin, TX
- NPI 1881093789
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
- General Acute Care Hospital
- Lufkin, TX
- NPI 1487607792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1245586296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 154137",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759154137",
"telephone_number": "936-225-3657",
"fax_number": "936-899-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SHANDS DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759042885",
"telephone_number": "936-225-3657",
"fax_number": "936-899-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "KINDRELL",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q3822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE I NATIONAL PROVIDER IDENTIFIER",
"identifier": "1245586296",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE II NATIONAL PROVIDER IDENTIFIER",
"identifier": "1467988600",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.