Active NPI
Kenneth J. Hyde, M.D.
- Ophthalmology Physician
- Houston, TX
National Provider Identifier
1629063383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H5571
- Practice address
- 2855 Gramercy St
Houston, TX 77025-1635 - Phone
- (713) 668-6828
- NPI assigned
- Sep 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | H5571 | TX | |
| Ophthalmology Physician | 207W00000X | H5571 | TX | Primary |
Addresses
Primary practice location
2855 Gramercy St
Houston, TX 77025-1635
Mailing address
2855 Gramercy St # 400
Houston, TX 77025-1697
Phone (713) 668-6828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134913602 | Medicaid | TX |
Other names 1
- Dr. Kenneth J. Hyde
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kennethhyde@houstoneye.direct.eyemdemr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1629063383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 GRAMERCY ST # 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251697",
"telephone_number": "713-668-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 GRAMERCY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251635",
"telephone_number": "713-668-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "KENNETH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "TX",
"license": "H5571",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "H5571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134913602",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kennethhyde@houstoneye.direct.eyemdemr.com",
"affiliation": "N",
"endpointDescription": "direct message address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2855 Gramercy St",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770251635",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KENNETH",
"last_name": "HYDE",
"middle_name": "J.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.