Active NPI
KND Development 59 LLC
- Hospitalist Physician
- Houston, TX
National Provider Identifier
1497043905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- KND DEVELOPMENT 59 LLC
- Practice address
- 1800 W 26TH St
Houston, TX 77008-1419 - Phone
- (832) 673-4200
- Fax
- (502) 596-4150
- NPI assigned
- Jul 18, 2011
- Last updated
- Jul 1, 2020
- Organization subpart
- Yes
- Parent organization
- KINDRED HEALTHCARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda L Fisher
- Title
- DVP Revenue Cycle
- Phone
- (502) 596-7358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1800 W 26TH St
Houston, TX 77008-1419
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343703 | Other | TX | MEDICARE |
Other names 1
- 4869 HOUSTON HEIGHTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101013000177 | TX | Part B Supplier - Clinic/Group Practice | 3678602802 |
Receives reassigned benefits from 110 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sugarland, TX; Webster, TX; San Antonio, TX; Manvel, TX; Houston, TX; Fort Worth, TX; El Paso, TX; Dallas, TX… |
Other NPIs on the same Medicare enrollment 17
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Kindred
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593561600000",
"number": "1497043905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "502-596-7358",
"fax_number": "833-501-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W 26TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081419",
"telephone_number": "832-673-4200",
"fax_number": "502-596-4150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KND DEVELOPMENT 59 LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KINDRED HEALTHCARE, INC",
"enumeration_date": "2011-07-18",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DVP REVENUE CYCLE",
"authorized_official_telephone_number": "502-596-7358"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "343703",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "4869 HOUSTON HEIGHTS",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "4869 HOUSTON HEIGHTS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.