NPIMap

Organization Active NPI

KPS Cardiovascular Surgery PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Shenandoah, TX
National Provider Identifier
1467543835
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
KPS CARDIOVASCULAR SURGERY PA
Practice address
118 Shenandoah Dr
Suite a
Shenandoah, TX 77381-1204
Phone
(281) 583-4000
Fax
(281) 580-5079
NPI assigned
Sep 28, 2006
Organization subpart
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

Authorized official

Name
Dr. Clifford Kitten, M.D.
Title
President
Phone
(281) 583-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X

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
095021403MedicaidTX

National Provider Directory

National Provider Directory

Locations

21212 Northwest Fwy
Ste 305
Cypress, TX 77429
Phone (281) 583-4000

118 Shenandoah Dr
Ste A
Shenandoah, TX 77381
Phone (281) 583-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5880/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1467543835",
    "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": {
        "organization_name": "KPS CARDIOVASCULAR SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "KITTEN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-583-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095021403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.