Individual provider Active NPI

Derek Peter Kuhl, MD, PHD

  • Ophthalmology Physician
  • Bryan, TX
National Provider Identifier
1629074844
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L2390 Issued in TX
Practice address
2806 E 29TH St
Bryan, TX 77802-2601
Phone
(979) 776-8330
Fax
(979) 774-9157
NPI assigned
Jun 22, 2005
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X L2390 TX
Ophthalmology Physician 207W00000X L2390 TX Primary

Addresses

Primary practice location

2806 E 29TH St
Bryan, TX 77802-2601

Mailing address

2806 E 29TH St
Bryan, TX 77802-2601
Phone (979) 776-8330

Other identifiers 1

IdentifierTypeStateIssuer
145848103MedicaidTX

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
I20040730000547 TX Practitioner - OphthalmologyPractitioner - Optometry 0345210928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Center P aGroup PAC ID 6709856388, 2 clinicians

Practice addresses (Care Compare)

2806 E 29TH St
Bryan, TX 77802-2601
Phone (979) 776-8330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Center P a Ophthalmology CurrentSince Apr 1, 2004 Accepting new patients
Austin Retina Associates PLLC Ophthalmology Past Accepting new patients
Austin Retina Associates PLLC Ophthalmology PastSince Sep 4, 2022 Accepting new patients

Locations

2806 E 29th St
Bryan, TX 77802
Phone (979) 774-0498

3361 Montgomery Rd
Huntsville, TX 77340
Phone (936) 539-4500

Interoperability endpoints

  • Direct secure messaging: dkuhl@retina.updoxdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1629074844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022601",
            "telephone_number": "979-776-8330",
            "fax_number": "979-774-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022601",
            "telephone_number": "979-776-8330",
            "fax_number": "979-774-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHL",
        "first_name": "DEREK",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "L2390",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145848103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.