Individual provider Active NPI

Kaeli Freeborough, DO

  • Family Medicine Physician
  • Webster, TX
National Provider Identifier
1609433481
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U0772 Issued in TX
Practice address
210 Genesis Blvd Ste a
Webster, TX 77598-1697
Phone
(713) 955-1660
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 U0772 TX Primary

Addresses

Primary practice location

210 Genesis Blvd Ste a
Webster, TX 77598-1697

Mailing address

9999 Bellaire Blvd Ste 370
Ste 370
Houston, TX 77036-3579
Phone (713) 955-1660

Other practice location 1

4301 Garth Rd Ste 302
Baytown, TX 77521-3158
Phone (281) 420-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0772TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wang&Jiang, MD, PA Family Medicine PastSince Apr 28, 2004 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1609433481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 BELLAIRE BLVD STE 370",
            "address_2": "STE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363579",
            "telephone_number": "713-955-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981697",
            "telephone_number": "713-955-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Garth Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213158",
            "country_code": "US",
            "telephone_number": "281-420-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEBOROUGH",
        "first_name": "KAELI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U0772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.