Individual provider Active NPI

Kenneth S Helmer, MD

  • Surgery Physician
  • Tyler, TX
National Provider Identifier
1497785356
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L1882 Issued in TX
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

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
TIN PLU 015OtherTXTRICARE
8R7271OtherTXBCBS OF TEXAS
148411502MedicaidTX
8J9558OtherTXBCBSTX

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 14 clinicians

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 Hospital, Conroe, TX, CCN 450222
  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Montgomery Physicians Group, PLLC CurrentSince Jan 1, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 1, 2020 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

  • Direct secure messaging: khelmer6184@christushealth.direct-ci.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.