Individual provider Active NPI

Janet Rene Keais-Gross, DO

  • Physical Medicine & Rehabilitation Physician
  • Tyler, TX
National Provider Identifier
1649235490
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N4513 Issued in TX
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.

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

ProcedureNumber of procedures
Removal of tissue16

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DO000054LAMDPhysical Medicine & Rehabilitation Physician
N4513TXMDPhysical Medicine & Rehabilitation Physician
39234-021WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 21, 2009 Accepting new patients
Advanced Health Center PLLC CurrentSince Mar 2, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 21, 2009 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

  • Direct secure messaging: jkeais8567@christushealth.direct-ci.net

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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 Former name

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

Verify at the official NPI Registry.