Individual provider Active NPI

Kenneth Lee Caldwell, M.D.

  • Orthopaedic Surgery Physician
  • Pasadena, TX
National Provider Identifier
1467680793
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
P8866 Issued in TX
Practice address
3919 Woodlawn Ave Ste B
Pasadena, TX 77504-1995
Phone
(281) 598-3638
Fax
(855) 592-2529
NPI assigned
Jun 25, 2009
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X P8866 TX Primary

Addresses

Primary practice location

3919 Woodlawn Ave Ste B
Pasadena, TX 77504-1995

Mailing address

3636 Old Spanish TRL # 341
Houston, TX 77021-2456
Phone (713) 401-2896

Other identifiers 4

IdentifierTypeStateIssuer
1114585395OtherTXTYPE 2-GROUP NPI
851963OtherTXINDIVIDUAL PTAN
146768079303MedicaidTX
83-4230855OtherTXTAX ID

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
I20160211001977 TX Practitioner - Orthopedic Surgery 9830493816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3919 Woodlawn Ave
Pasadena, TX 77504-1996
Phone (281) 598-3638

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8866TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True Emet Orthopedics, PLLC Orthopaedic Surgery CurrentSince Aug 15, 2019 Accepting new patients
Hillcrest Physician Services Orthopaedic Surgery PastSince Aug 21, 2017 Accepting new patients

Locations

3636 Old Spanish Trl
Ste B
Houston, TX 77021

3636 Old Spanish Trl
Ste B1
Houston, TX 77021
Phone (214) 686-9819

3801 Vista Rd
Ste 360
Pasadena, TX 77504
Phone (713) 359-2221

3919 Woodlawn Ave
Ste 100B
Pasadena, TX 77504
Phone (281) 598-3638

3919 Woodlawn Ave
Ste B
Pasadena, TX 77504
Phone (281) 501-7987

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDBDDD/Endpoint/JDBDDD
  • Direct secure messaging: kcaldwell468643@direct.stlukeshealth.org
  • Direct secure messaging: kenneth.caldwell.1@33025.direct.athenahealth.com
  • Direct secure messaging: kenneth.caldwell@wh.jhie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1467680793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 OLD SPANISH TRL # 341",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212456",
            "telephone_number": "713-401-2896",
            "fax_number": "713-359-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 WOODLAWN AVE STE B",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041995",
            "telephone_number": "281-598-3638",
            "fax_number": "855-592-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P8866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2-GROUP NPI",
            "identifier": "1114585395",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "851963",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146768079303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "83-4230855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.