Active NPI
Kaywin Mahoney Carter, MD
- Obstetrics & Gynecology Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H3992
- 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, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113884401 | Medicaid | TX |
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
- Obstetrics/Gynecology
- Education
- University of Oklahoma College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3992 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor St. Luke's Medical Group | Current | 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
- https://fhir4.healow.com/fhir/r4/JIHBCA
- 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.
-
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1740485879
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
dba Woodland Heights Medical Center
- 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": "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
- Jose Miguel Carranza Chavez, MD
- Joseph Crawford Carriere III, RPH.
- D'Marcus Carroll, PHARMD
- Jason D Carter, MD
- John Daniel Carter, M.D.
- Patricia P Carter, RN
- Brandon Riley Carver, RPH
- Cascade Angelina Health Services, LTD (Castle Pines Health and Rehabilitation Center)
- Cascade Medical Services, LTD
- James M Caskey, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.