Individual provider Active NPI

Kirk Allen Koepsel, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1407848013
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
946 Issued in TX
Practice address
1234 Bay Area Blvd
Ste G
Houston, TX 77058-2538
Phone
(281) 488-3237
Fax
(281) 488-4218
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 946 TX Primary

Addresses

Primary practice location

1234 Bay Area Blvd
Ste G
Houston, TX 77058-2538

Mailing address

1234 Bay Area Blvd
Ste G
Houston, TX 77058-2538
Phone (281) 488-3237

Other identifiers 1

IdentifierTypeStateIssuer
112232701MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
946TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
CLS Health PLLC PastSince Jan 8, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1407848013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BAY AREA BLVD",
            "address_2": "STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582538",
            "telephone_number": "281-488-3237",
            "fax_number": "281-488-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 BAY AREA BLVD",
            "address_2": "STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582538",
            "telephone_number": "281-488-3237",
            "fax_number": "281-488-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPSEL",
        "first_name": "KIRK",
        "middle_name": "ALLEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112232701",
            "state": "TX"
        }
    ],
    "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 Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.