NPIMap

Organization Active NPI

K&S Healthcare, LLC

Doing business as Northeast Prohealth

  • Internal Medicine Physician
  • Converse, TX
National Provider Identifier
1336491315
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M5312 Issued in TX
Legal business name
K&S HEALTHCARE, LLC
Doing business as
Northeast Prohealth
Practice address
7585 Kitty Hawk
Suite 201
Converse, TX 78109
Phone
(210) 468-2333
Fax
(210) 667-4044
NPI assigned
Oct 15, 2012
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Orlando Kypuros, M.D.NPI 1225103872
Title
Medical Doctor
Phone
(210) 599-4086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M5312 TX Primary

Addresses

Primary practice location

7585 Kitty Hawk
Suite 201
Converse, TX 78109

Mailing address

7585 Kitty Hawk
Suite 201
Converse, TX 78109
Phone (210) 468-2333

Other practice location 1

12501 Judson Rd
Suite 202
Live Oak, TX 78233-4103
Phone (210) 599-4086

Other names 1

  • Northeast Prohealth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130412000072 TX Part B Supplier - Clinic/Group Practice 3577709849 Receives reassigned benefits from 16 practitioners
Practice locations: Converse, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2235817K & S Healthcare LLC, Dba Northeast Prohealth7585 Kitty Hawk Road, Ste 201, Converse, TX 78109Certificate of waiverSep 12, 2027

National Provider Directory

National Provider Directory

Locations

7585 Kitty Hawk Rd
Ste 201
Converse, TX 78109
Phone (210) 403-5982

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24630/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6170/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1336491315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK",
            "address_2": "SUITE 201",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "78109",
            "telephone_number": "210-468-2333",
            "fax_number": "210-667-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK",
            "address_2": "SUITE 201",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "78109",
            "telephone_number": "210-468-2333",
            "fax_number": "210-667-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12501 Judson Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782334103",
            "country_code": "US",
            "telephone_number": "210-599-4086",
            "fax_number": "210-655-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K&S HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "KYPUROS",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "210-599-4086",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M5312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Prohealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.