Individual provider Active NPI

Kyle Lamar Gummelt, D.O.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1689964215
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4653 Issued in TX
Practice address
8222 Douglas Ave Ste 600
Dallas, TX 75225-5937
Phone
(972) 993-5040
Fax
(972) 993-5041
NPI assigned
Apr 16, 2011
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P4653 TX Primary

Addresses

Primary practice location

8222 Douglas Ave Ste 600
Dallas, TX 75225-5937

Mailing address

8222 Douglas Ave Ste 600
Dallas, TX 75225-5937
Phone (972) 993-5040

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
I20140917002988 TX Practitioner - Internal Medicine 5294976403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Abksw Preferred Health Partners, PLLCGroup PAC ID 2961710892, 48 clinicians

Practice addresses (Care Compare)

3600 Gaston Ave
Suite 656
Dallas, TX 75246-1906
Phone (214) 820-3466

4001 Worth St
Dallas, TX 75246-1608

8215 Westchester Dr
Suite 320
Dallas, TX 75225-6117
Phone (972) 993-5040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4653TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 21, 2016 Accepting new patients
Abksw Preferred Health Specialty Partners PLLC CurrentSince Dec 14, 2025 Accepting new patients
Abksw Preferred Health Partners, PLLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Dec 21, 2016 Accepting new patients
Wellspine,P.a. PastSince Jun 27, 2021 Accepting new patients

Locations

3417 Gaston Ave
Ste 1100
Dallas, TX 75246
Phone (469) 800-9000

3417 Gaston Ave
Ste 700
Dallas, TX 75246
Phone (214) 823-4800

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

8215 Westchester Dr
Ste 320
Dallas, TX 75225
Phone (214) 819-9600

8222 Douglas Ave
Ste 600
Dallas, TX 75225
Phone (972) 993-5040

440 W Lyndon B Johnson Fwy
Ste 405
Irving, TX 75063
Phone (214) 823-4800

Interoperability endpoints

  • Direct secure messaging: kgummelt225836@direct.sw.org
  • Direct secure messaging: kyle.gummelt@ntphp.eclinicaldirectplus.com

Organizations & group practices 5

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 5

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": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1689964215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255937",
            "telephone_number": "972-993-5040",
            "fax_number": "972-993-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255937",
            "telephone_number": "972-993-5040",
            "fax_number": "972-993-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMMELT",
        "first_name": "KYLE",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.