Active NPI
Janet Rene Keais-Gross, DO
- Physical Medicine & Rehabilitation Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- N4513
- Practice address
- 910 E Houston St
Ste 330
Tyler, TX 75702-8368 - Phone
- (903) 525-7995
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 WSW Loop
323 Suite 60
Tyler, TX 75701-7059
Phone (903) 526-4875
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091214000779 | TX | Practitioner - Physical Medicine and Rehabilitation | 2264536580 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO000054 | LA | MD | Physical Medicine & Rehabilitation Physician |
| N4513 | TX | MD | Physical Medicine & Rehabilitation Physician |
| 39234-021 | WI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Advanced Health Center PLLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
1400 W Southwest Loop 323
Ste 60
Tyler, TX 75701
Phone (903) 526-4875
910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- jkeais8567@christushealth.direct-ci.net
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | DO000054 | LA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 39234-021 | WI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | N4513 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
910 E Houston St
Ste 330
Tyler, TX 75702-8368
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450
Other names 1
NPPES NPI Registry- Janet Rene Keais
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2018.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1649235490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E HOUSTON ST",
"address_2": "STE 330",
"city": "TYLER",
"state": "TX",
"postal_code": "757028368",
"telephone_number": "903-525-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAIS-GROSS",
"first_name": "JANET",
"middle_name": "RENE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "LA",
"license": "DO000054",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WI",
"license": "39234-021",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "N4513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "KEAIS",
"middle_name": "RENE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.