Individual provider Active NPI

Thomas Kolkebeck, M.D.

  • Emergency Medicine Physician
  • Lackland AFB, TX
National Provider Identifier
1427136829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
111907 Issued in MO
Practice address
2200 Bergquist Dr Ste 1
Attn: Credentials (CMC)
Lackland a F B, TX 78236-5300
Phone
(210) 292-7395
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 111907 MO Primary

Addresses

Primary practice location

2200 Bergquist Dr Ste 1
Attn: Credentials (CMC)
Lackland a F B, TX 78236-5300

Mailing address

18622 Rogers PL
San Antonio, TX 78258-4643

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
I20080731000675 TX Practitioner - Emergency Medicine 6507930096 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111907MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Sep 19, 2019 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 29, 2024 Accepting new patients

Locations (25 of 30)

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

7719 S Ih 35
San Antonio, TX 78224
Phone (210) 572-2955

Organizations & group practices 5

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427136829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18622 ROGERS PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR STE 1",
            "address_2": "ATTN: CREDENTIALS (CMC)",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782365300",
            "telephone_number": "210-292-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLKEBECK",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "111907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackland AFB, TX

Sources for this page

Verify at the official NPI Registry.