Individual provider Active NPI

Robert Lee Kaale, MD

  • Emergency Medicine Physician
  • Nassau Bay, TX
National Provider Identifier
1659487767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M1175 Issued in TX
Practice address
18300 St. John Driver
Nassau Bay, TX 77058
Phone
(281) 333-8822
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M1175 TX Primary

Addresses

Primary practice location

18300 St. John Driver
Nassau Bay, TX 77058

Mailing address

1126 Shady Knoll LN
League City, TX 77573-1999

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
I20050827000139 TX Practitioner - Emergency Medicine 4587695796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barrier Reef Emergency Physicians PLLCGroup PAC ID 4789738360, 30 clinicians

Practice addresses (Care Compare)

200 Blossom St
Webster, TX 77598-4204
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barrier Reef Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 1, 2009 Accepting new patients
Utmb Faculty Group Practice Emergency Medicine CurrentSince Sep 30, 2010 Accepting new patients
Texan Star Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 7, 2014 Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

200 Blossom St
Webster, TX 77598
Phone (281) 525-7000

Organizations & group practices 4

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 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659487767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SHADY KNOLL LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 ST. JOHN DRIVER",
            "city": "NASSAU BAY",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "281-333-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAALE",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nassau Bay, TX

Sources for this page

Verify at the official NPI Registry.