Organization Active NPI

Kyle H Fehlis PLLC

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1649000126
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KYLE H FEHLIS PLLC
Practice address
457 Landa St Ste C
New Braunfels, TX 78130-5414
Phone
(830) 627-9088
Fax
(833) 973-1245
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dr. Kyle Fehlis, MDNPI 1215167119
Title
Physician / Owner
Phone
(830) 358-2227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

457 Landa St Ste C
New Braunfels, TX 78130-5414

Mailing address

457 Landa St Ste C
New Braunfels, TX 78130-5414
Phone (830) 627-9088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240910002526 TX Part B Supplier - Clinic/Group Practice 5294275889 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2309623Kyle H Fehlis PLLC457 Landa St Suite C, New Braunfels, TX 78130Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1649000126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 LANDA ST STE C",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305414",
            "telephone_number": "830-627-9088",
            "fax_number": "833-973-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 LANDA ST STE C",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305414",
            "telephone_number": "830-627-9088",
            "fax_number": "833-973-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE H FEHLIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "FEHLIS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "830-358-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.