Individual provider Active NPI

Kyra Wilson, PA

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1417787771
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18419 Issued in TX
Practice address
10425 Huffmeister Rd Ste 200
Houston, TX 77065-3429
Phone
(832) 912-4481
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18419 TX Primary

Addresses

Primary practice location

10425 Huffmeister Rd Ste 200
Houston, TX 77065-3429

Mailing address

10425 Huffmeister Rd Ste 200
Houston, TX 77065-3429

Other practice location 1

21212 Northwest Fwy
Cypress, TX 77429-5884
Phone (832) 912-4481

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118003231 TX Practitioner - Physician Assistant 6002341799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Regional Gastroenterology Institute PLLCGroup PAC ID 9436417672, 37 clinicians
Allied Digestive Disease Center of HoustonGroup PAC ID 1355602988, 4 clinicians

Practice addresses (Care Compare)

15555 Creek Bend Dr
Suite 200
Sugar Land, TX 77478-4670
Phone (832) 707-5978

21212 Northwest Fwy
Suite 425a
Cypress, TX 77429-5884

21212 Northwest Fwy
Suite 425a
Cypress, TX 77429-5887

21212 NW Fwy 425a
Cypress, TX 77429-5884
Phone (832) 912-4481

9731 Wortham Blvd
Suite 104
Houston, TX 77065-3423
Phone (832) 707-5011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18419TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Regional Gastroenterology Institute PLLC CurrentSince Jul 26, 2025 Accepting new patients

Locations

24510 Northwest Fwy
Ste 445
Cypress, TX 77429

21212 Northwest Fwy
Ste 425A
Cypress, TX 77429
Phone (832) 912-4481

21212 Northwest Fwy
#425A
Cypress, TX 77429
Phone (832) 912-4481

21212 Northwest Fwy
Ste 425
Cypress, TX 77429

9731 Wortham Blvd
Ste 104
Houston, TX 77065
Phone (832) 707-5011

10425 Huffmeister Rd
Ste 200
Houston, TX 77065
Phone (281) 955-8884

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17937/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 3

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1417787771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653429",
            "telephone_number": "832-912-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21212 Northwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774295884",
            "country_code": "US",
            "telephone_number": "832-912-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KYRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.