Individual provider Active NPI

Kaywin Mahoney Carter, MD

  • Obstetrics & Gynecology Physician
  • Lufkin, TX
National Provider Identifier
1295802668
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H3992 Issued in TX
Practice address
1105 W Frank Ave Ste 110
Lufkin, TX 75904-3302
Phone
(936) 634-1620
Fax
(936) 639-8972
NPI assigned
Nov 29, 2006
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H3992 TX Primary

Addresses

Primary practice location

1105 W Frank Ave Ste 110
Lufkin, TX 75904-3302

Mailing address

17521 St Lukes Way Ste 180
The Woodlands, TX 77384-8040
Phone (936) 266-3516

Other practice location 1

503 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 632-1533

Other practice location 2

601 Ogletree Dr Ste A&b
Livingston, TX 77351-9226
Phone (936) 634-1620

Other identifiers 1

IdentifierTypeStateIssuer
113884401MedicaidTX

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
I20110413000408 TX Practitioner - Obstetrics/Gynecology 3870518392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

17350 St Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone (281) 444-3278

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3992TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke's Medical Group CurrentSince Nov 1, 2017 Accepting new patients
Memorial Health System of East Texas Past Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

601 Ogletree Dr
Ste Ab
Livingston, TX 77352
Phone (936) 634-1620

1105 W Frank Ave
Ste 110
Lufkin, TX 75904
Phone (936) 634-1620

1105 W Frank Ave
Ste 260
Lufkin, TX 75904
Phone (936) 631-3480

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

600 E Hospital St
San Augustine, TX 75972
Phone (936) 275-4420

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721

17521 St Lukes Way
Ste 180
The Woodlands, TX 77384
Phone (281) 794-4062

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: kcarter456124@direct.stlukeshealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1295802668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY STE 180",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848040",
            "telephone_number": "936-266-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W FRANK AVE STE 110",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043302",
            "telephone_number": "936-634-1620",
            "fax_number": "936-639-8972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 S John Redditt Dr",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043120",
            "country_code": "US",
            "telephone_number": "936-632-1533",
            "fax_number": "936-632-1726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Ogletree Dr Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "773519226",
            "country_code": "US",
            "telephone_number": "936-634-1620",
            "fax_number": "936-639-8972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KAYWIN",
        "middle_name": "MAHONEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H3992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113884401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.