Active NPI
William B Klinke, M.D.
- Otolaryngology Physician
- Katy, TX
National Provider Identifier
1366479537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- E5552
- Practice address
- 1331 W Grand Pkwy N
Suite 160
Katy, TX 77493-2710 - Phone
- (281) 392-8900
- Fax
- (281) 392-4157
- NPI assigned
- Jun 26, 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | E5552 | TX | Primary |
Addresses
Primary practice location
1331 W Grand Pkwy N
Suite 160
Katy, TX 77493-2710
Mailing address
1331 W Grand Pkwy N
Suite 160
Katy, TX 77493-2710
Phone (281) 392-8900
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070720000604 | TX | Practitioner - Otolaryngology | 0840391876 | Practice locations: Katy, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5552 | TX | MD | Otolaryngology Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/15428/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1366479537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 W GRAND PKWY N",
"address_2": "SUITE 160",
"city": "KATY",
"state": "TX",
"postal_code": "774932710",
"telephone_number": "281-392-8900",
"fax_number": "281-392-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 W GRAND PKWY N",
"address_2": "SUITE 160",
"city": "KATY",
"state": "TX",
"postal_code": "774932710",
"telephone_number": "281-392-8900",
"fax_number": "281-392-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINKE",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "E5552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.