Individual provider Active NPI

Kory R Guidry, M.D.

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1477533693
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2707 Issued in TX
Practice address
4308 Garth Rd Ste C
Baytown, TX 77521-3193
Phone
(281) 428-5542
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2707 TX Primary

Addresses

Primary practice location

4308 Garth Rd Ste C
Baytown, TX 77521-3193

Mailing address

PO Box 998
Baytown, TX 77522-0998
Phone (281) 428-5542

Other identifiers 2

IdentifierTypeStateIssuer
0036KBOtherTXBCBS GROUP #
8H9358OtherTXBCBS RENDERING PROV. #

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
I20101210000848 TX Practitioner - Family Practice 7517153729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1010 W Baker Rd
Suite 105
Baytown, TX 77521-2383
Phone 281428554212

Hospital & facility affiliations

  • Total Home Care Inc Home health agency, Houston, TX, CCN 459406
  • Signature Health Services Home health agency, Baytown, TX, CCN 678499
  • Bay View Home Health Services Home health agency, Baytown, TX, CCN 679010
  • Faith Community Hospice LLC Hospice, Baytown, TX, CCN 451787
  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2707TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Family Medicine Association Family Medicine CurrentSince Jan 15, 2003 Accepting new patients

Locations

1010 W Baker Rd
Ste 105
Baytown, TX 77521
Phone (281) 420-8957

4308 Garth Rd
Ste C
Baytown, TX 77521
Phone (281) 428-5542

Organizations & group practices 1

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 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1477533693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775220998",
            "telephone_number": "281-428-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 GARTH RD STE C",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213193",
            "telephone_number": "281-428-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "KORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0036KB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RENDERING PROV. #",
            "identifier": "8H9358",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.