NPIMap

Individual provider Active NPI

Kyle Lee Scarborough, MD

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1417045303
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8380 Issued in TX
Practice address
603 S. Conroe Medical Center Blvd
Ste 110
Conroe, TX 77304
Phone
(936) 760-9900
Fax
(936) 760-9926
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H8380 TX Primary

Addresses

Primary practice location

603 S. Conroe Medical Center Blvd
Ste 110
Conroe, TX 77304

Mailing address

603 S Conroe Medical Dr Ste 110
Conroe, TX 77304-5395
Phone (936) 760-9900

Other identifiers 1

IdentifierTypeStateIssuer
118743702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000984 TX Practitioner - Family Practice 3870688617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scarborough Family Medicine, PLLCGroup PAC ID 9739312372, 2 clinicians

Practice addresses (Care Compare)

603 S Conroe Medical Dr
Suite 110
Conroe, TX 77304-5395
Phone (936) 760-9900

Hospital & facility affiliations

  • Allheal Home Health, Inc Home health agency, Houston, TX, CCN 747314
  • Theracare Home Health Home health agency, Conroe, TX, CCN 678372
  • Accentcare Home Health of Houston - South, LLC Home health agency, Sugar Land, TX, CCN 679102
  • Home Care Select Home health agency, Conroe, TX, CCN 747095
  • Pathfinder Home Health Home health agency, The Woodlands, TX, CCN 678058
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions16
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H8380TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Family Medicine PLLC Family Medicine Current Accepting new patients
Scarborough Family Medicine, PLLC Family Medicine CurrentSince May 3, 2012 Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

603 S Conroe Medical Dr
Ste 110
Conroe, TX 77304
Phone (936) 760-9900

508 Medical Center Blvd
Ste 350
Conroe, TX 77304
Phone (936) 760-9900

Organizations & group practices 3

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 11

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1417045303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S CONROE MEDICAL DR STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045395",
            "telephone_number": "936-760-9900",
            "fax_number": "936-760-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S. CONROE MEDICAL CENTER BLVD",
            "address_2": "STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "936-760-9900",
            "fax_number": "936-760-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "KYLE",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118743702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.