Organization Active NPI

Krohn Internal Medicine Association

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1376614362
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H8185 Issued in TX
Legal business name
KROHN INTERNAL MEDICINE ASSOCIATION
Practice address
10 Medical Center Blvd Ste E
Lufkin, TX 75904-3163
Phone
(936) 632-8220
Fax
(936) 632-8230
NPI assigned
Nov 13, 2006
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Dr. Kyle G Krohn, M.D.NPI 1124091277
Title
President
Phone
(936) 632-8220

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H8186 TX
Internal Medicine Physician 207R00000X H8185 TX Primary

Addresses

Primary practice location

10 Medical Center Blvd Ste E
Lufkin, TX 75904-3163

Mailing address

10 Medical Center Blvd, Ste. E
Lufkin, TX 75904
Phone (936) 632-8220

Other identifiers 1

IdentifierTypeStateIssuer
084066201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000568 TX Part B Supplier - Clinic/Group Practice 2567638778 Receives reassigned benefits from 2 practitioners
Practice locations: Lufkin, 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
45D0956873Krohn Internal Medicine Associates10 Medical Center Boulevard Suite E, Lufkin, TX 75904Certificate of waiverAug 16, 2026

National Provider Directory

National Provider Directory

Locations

10 Medical Center Blvd
Lufkin, TX 75904
Phone (409) 634-3396

10 Medical Center Blvd
Ste E
Lufkin, TX 75904
Phone (409) 632-8220

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1376614362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD, STE. E",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-632-8220",
            "fax_number": "936-632-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD STE E",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-632-8220",
            "fax_number": "936-632-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROHN INTERNAL MEDICINE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-632-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8186",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084066201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.