Active NPI
Andrew H Kilgus, MD
- Pediatrics Physician
- Grapevine, TX
National Provider Identifier
1346322625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G4326
- Practice address
- 1600 W Northwest Hwy
Ste 900
Grapevine, TX 76051-8112 - Phone
- (817) 488-7573
- Fax
- (817) 488-5096
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G4326 | TX | Primary |
Addresses
Primary practice location
1600 W Northwest Hwy
Ste 900
Grapevine, TX 76051-8112
Mailing address
PO Box 99371
Fort Worth, TX 76199-0371
Phone (682) 885-1855
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140442888 | Medicaid | TX | |
| 2131717 | Other | TX | CIGNA PIN |
| 4019422 | Other | TX | AETNA PIN |
| 73652 | Other | TX | FIRSTHEALTH PIN |
| 138216 | Other | TX | PHCS PIN |
| 140442891 | Medicaid | TX | |
| 00U87Z | Other | TX | BCBSTX GRP PIN |
| 1750369203 | Other | GRP NPI NUMBER | |
| KILAB23950 | Other | TX | CCHIP PIN |
| 116765100 | Other | TX | FIRSTCARE PIN |
| 151816901 | Medicaid | TX | |
| 303413 | Other | TX | UHC PIN |
| 87Y240 | Other | TX | BCBSTX IND PIN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1346322625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99371",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990371",
"telephone_number": "682-885-1855",
"fax_number": "682-885-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W NORTHWEST HWY",
"address_2": "STE 900",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518112",
"telephone_number": "817-488-7573",
"fax_number": "817-488-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGUS",
"first_name": "ANDREW",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G4326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140442888",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "2131717",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "4019422",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTHEALTH PIN",
"identifier": "73652",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PIN",
"identifier": "138216",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140442891",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX GRP PIN",
"identifier": "00U87Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP NPI NUMBER",
"identifier": "1750369203",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCHIP PIN",
"identifier": "KILAB23950",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE PIN",
"identifier": "116765100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151816901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "303413",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX IND PIN",
"identifier": "87Y240",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.