Individual provider Active NPI

Kristin Kassaw, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1336229699
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K7779 Issued in TX
Practice address
4349 Martin Luther King Blvd.
Suite 1001 E , Health 2 BLDG
Houston, TX 77204-3074
Phone
(713) 743-9682
Fax
(713) 743-1049
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K7779 TX Primary

Addresses

Primary practice location

4349 Martin Luther King Blvd.
Suite 1001 E , Health 2 BLDG
Houston, TX 77204-3074

Mailing address

4349 Martin Luther King Blvd.
Suite 1001 E , Health 2 BLDG
Houston, TX 77204-3074
Phone (713) 743-9682

Other identifiers 1

IdentifierTypeStateIssuer
145915801MedicaidTX

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
I20110107000888 TX Practitioner - Psychiatry 1658560594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uh HealthGroup PAC ID 5496137499, 15 clinicians

Practice addresses (Care Compare)

4349 Martin Luther King Blvd
1001 Health 2 BLDG
Houston, TX 77204-3019
Phone (713) 743-9682

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uh Health Psychiatry CurrentSince Apr 20, 2022 Accepting new patients
Villagemd of Southeast Texas, PA PastSince Dec 14, 2025 Accepting new patients

Locations

4849 Calhoun Rd
Ste 1001A
Houston, TX 77204
Phone (346) 348-1201

4349 Martin Luther King Blvd
Ste 1001
Houston, TX 77204
Phone (713) 743-9682

4349 Martin Luther King Blvd
#2
Houston, TX 77204
Phone (713) 743-9682

4349 Martin Luther King Blvd
Ste 1001E
Houston, TX 77204
Phone (713) 743-9682

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26199/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristin.kassaw.p1@direct.lscctx.nextgenshare.com
  • Direct secure messaging: kristin.kassaw.1@26199.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1336229699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 MARTIN LUTHER KING BLVD.",
            "address_2": "SUITE 1001 E , HEALTH 2 BLDG",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772043074",
            "telephone_number": "713-743-9682",
            "fax_number": "713-743-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 MARTIN LUTHER KING BLVD.",
            "address_2": "SUITE 1001 E , HEALTH 2 BLDG",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772043074",
            "telephone_number": "713-743-9682",
            "fax_number": "713-743-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAW",
        "first_name": "KRISTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K7779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145915801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.