Individual provider Active NPI

Trevor Kyle Huber, D.O.

  • Family Medicine Physician
  • Little Elm, TX
National Provider Identifier
1649682857
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7559 Issued in TX
Practice address
2700 E Eldorado Pkwy Ste 108
Little Elm, TX 75068-5999
Phone
(972) 987-0458
Fax
(972) 695-8811
NPI assigned
May 21, 2014
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q7559 TX Primary
Family Medicine Physician 207Q00000X BP10048770 TX

Addresses

Primary practice location

2700 E Eldorado Pkwy Ste 108
Little Elm, TX 75068-5999

Mailing address

5575 Frisco Square Blvd Ste 220
Frisco, TX 75034-3317
Phone (972) 987-0458

Other practice location 1

5575 Frisco Square Blvd Ste 220
Frisco, TX 75034-3317
Phone (469) 920-2302

Other practice location 2

2381 E University Dr Ste 50
Prosper, TX 75078-2390
Phone (469) 253-5105

Other identifiers 2

IdentifierTypeStateIssuer
Q7559OtherTXSTATE LICENSE
B0226719OtherTXDPS

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
I20160615002044 TX Practitioner - Family PracticePractitioner - Gastroenterology 2264723618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2700 E Eldorado Pkwy
Suite 104B
Little Elm, TX 75068-5999
Phone (972) 987-0458

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10048770TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modera Clinic PLLC Family Medicine CurrentSince Aug 3, 2017 Accepting new patients

Locations

5575 Frisco Square Blvd
Ste 220
Frisco, TX 75034
Phone (469) 310-4400

2700 E Eldorado Pkwy
Ste 104B
Little Elm, TX 75068
Phone (972) 987-0458

Interoperability endpoints

  • Direct secure messaging: trevor.huber.1@28297.direct.athenahealth.com

Organizations & group practices 2

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1649682857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 FRISCO SQUARE BLVD STE 220",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343317",
            "telephone_number": "972-987-0458",
            "fax_number": "833-471-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E ELDORADO PKWY STE 108",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685999",
            "telephone_number": "972-987-0458",
            "fax_number": "972-695-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 Frisco Square Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343317",
            "country_code": "US",
            "telephone_number": "469-920-2302",
            "fax_number": "833-471-5902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2381 E University Dr Ste 50",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782390",
            "country_code": "US",
            "telephone_number": "469-253-5105",
            "fax_number": "833-471-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBER",
        "first_name": "TREVOR",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7559",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10048770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "Q7559",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "B0226719",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

Verify at the official NPI Registry.