Individual provider Active NPI

Todd Earl Kislingbury, DO

  • Family Medicine Physician
  • Whitesboro, TX
National Provider Identifier
1497722847
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H5129 Issued in TX
Practice address
308 Charlie St
Whitesboro, TX 76273-1103
Phone
(903) 564-9090
Fax
(903) 564-7718
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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 H5129 TX Primary

Addresses

Primary practice location

308 Charlie St
Whitesboro, TX 76273-1103

Mailing address

5012 S US Highway 75 Ste 300
Attn Billing
Denison, TX 75020-4589
Phone (903) 564-9090

Other identifiers 1

IdentifierTypeStateIssuer
160915801MedicaidTX

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
I20100513000508 TX Practitioner - Family Practice 3577691427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TexomacareGroup PAC ID 3678555307, 47 clinicians

Practice addresses (Care Compare)

308 Charlie St
Whitesboro, TX 76273-1103
Phone (903) 416-1680

5012 S US Hwy 75
Denison, TX 75020-4587

Hospital & facility affiliations

  • First Texas Home Health Home health agency, Whitesboro, TX, CCN 458193
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
  • North Texas Medical Center Hospital, Gainesville, TX, CCN 450090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Texomacare Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Hillcrest Healthcare Services Inc Past Accepting new patients

Locations

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

308 Charlie Dr
Whitesboro, TX 76273
Phone (903) 416-1680

Organizations & group practices 3

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 4

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1497722847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-564-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CHARLIE ST",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762731103",
            "telephone_number": "903-564-9090",
            "fax_number": "903-564-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISLINGBURY",
        "first_name": "TODD",
        "middle_name": "EARL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160915801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, TX

Sources for this page

Verify at the official NPI Registry.