Active NPI
Kenneth S Helmer, MD
- Surgery Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- L1882
- Practice address
- 612 S Fleishel Ave
Tyler, TX 75701-2012 - Phone
- (903) 531-5560
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | L1882 | TX | Primary |
Addresses
Primary practice location
612 S Fleishel Ave
Tyler, TX 75701-2012
Mailing address
PO Box 5500
Tyler, TX 75712-5500
Phone (903) 324-6400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TIN PLU 015 | Other | TX | TRICARE |
| 8R7271 | Other | TX | BCBS OF TEXAS |
| 148411502 | Medicaid | TX | |
| 8J9558 | Other | TX | BCBSTX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KENNETH.HELMER@hca9.eclinicaldirectplus.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060829000301 | TX | Practitioner - General Surgery | 0749284073 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conroe Montgomery Physicians Group, PLLC
Practice addresses (Care Compare)
504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 539-7415
508 Medical Ctr Blvd
Suite 150
Conroe, TX 77304-2845
Phone (836) 760-4600
Hospital & facility affiliations
- HCA Houston Healthcare Conroe
- Huntsville Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conroe Montgomery Physicians Group, PLLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Past | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients | |
| Chca Conroe LP | Past | Accepting new patients |
Locations
508 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 760-4600
508 Medical Center Blvd
Ste 150
Conroe, TX 77304
Phone (836) 760-4600
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
612 S Fleishel Ave
Tyler, TX 75701
Phone (903) 531-5560
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- khelmer6184@christushealth.direct-ci.net
- kenneth.helmer@hca9.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1497785356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5500",
"city": "TYLER",
"state": "TX",
"postal_code": "757125500",
"telephone_number": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012012",
"telephone_number": "903-531-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELMER",
"first_name": "KENNETH",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "L1882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "TIN PLU 015",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8R7271",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148411502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8J9558",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KENNETH.HELMER@hca9.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "612 S Fleishel Ave",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757012012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.