Kindrell S. Tucker, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q3822 Issued in TX

Legal business name

KINDRELL S. TUCKER, MD, PA

Practice address

305 Shands Dr
Lufkin, TX 75904-2885

Phone

(936) 225-3657

Fax

(936) 899-7293

NPI assigned

May 9, 2017

Organization subpart

No

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

Authorized official

Name

Kindrell S Tucker, M.D.NPI 1245586296

Title

Owner

Phone

(936) 225-3657

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16092/brand/3/csg/1/fhir/r4

Practitioners 2

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

• Kindrell S Tucker, M.D.

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1245586296
  Medicare reassignment Care Compare group NPD Authorized official
• Shaleta Ingram, CNP

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1710519277
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1467988600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154137",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759154137",
            "telephone_number": "936-225-3657",
            "fax_number": "936-899-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SHANDS DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042885",
            "telephone_number": "936-225-3657",
            "fax_number": "936-899-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRELL S. TUCKER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "KINDRELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-225-3657",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q3822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE II NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1467988600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1245586296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghazala B Khan, MD
• Ilyas Mohammed Khan, M.D
• Mohammed Musa Khan, M.D.
• Wasim Mhammad Khan, MD
• Hazel Darleen Kimbrough, FNP
• Ashland King
• Kyle King, DDS
• Roderick King Jr., MD
• Billy Gene Kistler, M.D.
• Robert David Kistler, MD

• Family Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.