Individual provider Active NPI

Clifford Mark Kitten, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Shenandoah, TX
National Provider Identifier
1396730826
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E4456 Issued in TX
Practice address
118 Shenandoah Dr
Suite a
Shenandoah, TX 77381-1204
Phone
(281) 583-4000
Fax
(281) 580-5079
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E4456 TX Primary

Addresses

Primary practice location

118 Shenandoah Dr
Suite a
Shenandoah, TX 77381-1204

Mailing address

118 Shenandoah Dr
Suite a
Shenandoah, TX 77381-1204
Phone (281) 583-4000

Other identifiers 1

IdentifierTypeStateIssuer
1227209-03MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000838 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9638182363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

13300 Hargrave Rd
Suite 390
Houston, TX 77070-4374
Phone (281) 737-2918

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

Hospital & facility affiliations

  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)23
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince May 4, 2020 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 4, 2020 Accepting new patients
Houston Methodist Specialty Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2026 Accepting new patients
Wound Care Center of Houston Inc Past Accepting new patients
Timberland Medical Group Past Accepting new patients
Houston Methodist Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

13300 Hargrave Rd
Ste 390
Houston, TX 77070
Phone (281) 737-0869

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584

13300 Hargrave Rd
Ste 340
Houston, TX 77070
Phone (281) 737-2918

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: ckitten26887@directhoustonmethodist.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1396730826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHENANDOAH DR",
            "address_2": "SUITE A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773811204",
            "telephone_number": "281-583-4000",
            "fax_number": "281-580-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SHENANDOAH DR",
            "address_2": "SUITE A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773811204",
            "telephone_number": "281-583-4000",
            "fax_number": "281-580-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTEN",
        "first_name": "CLIFFORD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "E4456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1227209-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.