Individual provider Active NPI

Kendra Tay Hoyle, MD

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1518011642
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0337 Issued in TX
Practice address
409 W Ferguson St
Tyler, TX 75702-5632
Phone
(903) 596-8353
Fax
(903) 596-9471
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 L0337 TX Primary

Addresses

Primary practice location

409 W Ferguson St
Tyler, TX 75702-5632

Mailing address

2808 S Main St Ste T
Lindale, TX 75771-7855
Phone (903) 877-7200

Other practice location 1

2808 S Main St Ste T
Lindale, TX 75771-7855
Phone (903) 877-7200

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
I20140222000182 TX Practitioner - Family Practice 9133032204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2808 S Main St
Suite T
Lindale, TX 75771-7855
Phone (903) 881-5799

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions19
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0337TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Jul 1, 2019 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Jul 1, 2019 Accepting new patients

Locations

2808 S Main St
Lindale, TX 75771
Phone (903) 780-6596

2808 S Main St
Ste V
Lindale, TX 75771
Phone (903) 881-5799

2808 S Main St
Ste T
Lindale, TX 75771
Phone (903) 881-5799

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: kking355392@ahs.direct-ci.com

Organizations & group practices 2

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 7

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1518011642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S MAIN ST STE T",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717855",
            "telephone_number": "903-877-7200",
            "fax_number": "903-877-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W FERGUSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025632",
            "telephone_number": "903-596-8353",
            "fax_number": "903-596-9471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2808 S Main St Ste T",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757717855",
            "country_code": "US",
            "telephone_number": "903-877-7200",
            "fax_number": "903-877-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOYLE",
        "first_name": "KENDRA",
        "middle_name": "TAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.