Active NPI
Kristi Kaye Sumpter, D.O.
- Plastic and Reconstructive Surgery Physician
- Houston, TX
National Provider Identifier
1366540932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- L0630
- Practice address
- 12827 Jones Rd
Houston, TX 77070-4605 - Phone
- (281) 894-9990
- Fax
- (281) 894-9993
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | L0630 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | L0630 | TX | Primary |
Addresses
Primary practice location
12827 Jones Rd
Houston, TX 77070-4605
Mailing address
12827 Jones Rd
Houston, TX 77070-4605
Phone (281) 894-9990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040033502 | Medicaid | TX | |
| 8H4710 | Other | 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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0630 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelina Surgical Associates | Surgery | Past | Accepting new patients |
| Cy Fair Surgery Center | Past | Accepting new patients |
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.
-
- Surgery Physician
- Lufkin, TX
- NPI 1093865214
-
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1639195217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1366540932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12827 JONES RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704605",
"telephone_number": "281-894-9990",
"fax_number": "281-894-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12827 JONES RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704605",
"telephone_number": "281-894-9990",
"fax_number": "281-894-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMPTER",
"first_name": "KRISTI",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "L0630",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "L0630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040033502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8H4710",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.