Active NPI
Kenneth Donald Haygood, MD
- Family Medicine Physician
- Tyler, TX
National Provider Identifier
1326046616
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Mar 19, 2026.
- Section 1128b(4) exclusion effective Feb 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K2341
- Practice address
- 1304 Doctors Dr
Tyler, TX 75701-2262 - Phone
- (903) 531-2320
- NPI assigned
- Jul 11, 2005
- Last updated
- May 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | K2341 | TX | Primary |
Addresses
Primary practice location
1304 Doctors Dr
Tyler, TX 75701-2262
Mailing address
1304 Doctors Dr
Tyler, TX 75701-2262
Phone (903) 531-2320
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752616977042 | Other | TX | TRICARE |
| 046531203 | Medicaid | TX | |
| P01200574 | Other | TX | RAIL ROAD |
| 046531205 | Medicaid | TX | |
| 8DQ314 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1326046616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 DOCTORS DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012262",
"telephone_number": "903-531-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 DOCTORS DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012262",
"telephone_number": "903-531-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYGOOD",
"first_name": "KENNETH",
"middle_name": "DONALD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K2341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "752616977042",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046531203",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "P01200574",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046531205",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8DQ314",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.