Individual provider Active NPI

Andrew Jacob Skabelund, MD

  • Pulmonary Disease Physician
  • Tyler, TX
National Provider Identifier
1710131511
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
Q1909 Issued in TX
Practice address
619 S Fleishel Ave Ste 100
Tyler, TX 75701-2004
Phone
(903) 606-2299
Fax
(903) 606-2838
NPI assigned
Nov 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Q1909 TX Primary
Internal Medicine Physician 207R00000X 57.015588 OH
Pulmonary Disease Physician 207RP1001X 01068141A IN
Internal Medicine Physician 207R00000X 01068141A IN

Addresses

Primary practice location

619 S Fleishel Ave Ste 100
Tyler, TX 75701-2004

Mailing address

619 S Fleishel Ave Ste 100
Tyler, TX 75701-2004
Phone (903) 606-2299

Other practice location 1

3201 S Loop 256
Palestine, TX 75801-6901
Phone (903) 661-7057

Other practice location 2

2200 Bergquist Dr Ste 159
Pulmonary Disease Clinic
Jbsa Lackland, TX 78236-9907
Phone (210) 292-7179

Other practice location 3

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4578

Other practice location 4

111 Medical Cir
Sulphur Springs, TX 75482-2138
Phone (903) 558-1850

Other practice location 5

105 Medical Plz
Sulphur Springs, TX 75482-2136
Phone (903) 885-3181

Other practice location 6

215 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-6688

Other practice location 7

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-2838

Other practice location 8

11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 46845-0025
Phone (260) 266-5260

Other practice location 9

203 W 20th St Ste D
MT Pleasant, TX 75455-2343
Phone (903) 606-7480

Other practice location 10

130 Tankersley Rd
MT Pleasant, TX 75455-1530
Phone (903) 606-2830

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
I20181130001059 TX Practitioner - Pulmonary Disease 7517181555 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Uniformed Services Uhs Fe Hebert School of Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Texas PAGroup PAC ID 8628076924, 113 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1201 W Frank Ave
Memorial Medical Lufkin
Lufkin, TX 75904-3357
Phone (936) 634-8111

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.015588OHMDInternal Medicine Physician
01068141AINMDPulmonary Disease Physician
Q1909TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ips LLC Pulmonary Disease CurrentSince Oct 16, 2020 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Nov 19, 2018 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Oct 5, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 19, 2018 Accepting new patients

Locations

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

203 W 20th St
Ste D
Mt Pleasant, TX 75455
Phone (903) 434-7100

3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330

4458 Medical Dr
Ste 505
San Antonio, TX 78229

4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181

105 Medical Plz
Sulphur Springs, TX 75482
Phone (903) 885-3181

215 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-1740

111 Medical Cir
Sulphur Springs, TX 75482
Phone (903) 558-1850

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

619 S Fleishel Ave
Ste 100
Tyler, TX 75701
Phone (903) 606-2299

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: askabelund176930@christushealth.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1710131511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-606-2299",
            "fax_number": "903-606-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-606-2299",
            "fax_number": "903-606-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 S Loop 256",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758016901",
            "country_code": "US",
            "telephone_number": "903-661-7057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Bergquist Dr Ste 159",
            "address_2": "Pulmonary Disease Clinic",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782369907",
            "country_code": "US",
            "telephone_number": "210-292-7179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-541-4578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822138",
            "country_code": "US",
            "telephone_number": "903-558-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822136",
            "country_code": "US",
            "telephone_number": "903-885-3181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 AIRPORT RD",
            "address_purpose": "LOCATION",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "75482",
            "country_code": "US",
            "telephone_number": "903-885-6688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-2838",
            "fax_number": "903-606-2838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11104 Parkview Circle Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468450025",
            "country_code": "US",
            "telephone_number": "260-266-5260",
            "fax_number": "260-266-5279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 W 20th St Ste D",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "TX",
            "postal_code": "754552343",
            "country_code": "US",
            "telephone_number": "903-606-7480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Tankersley Rd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "TX",
            "postal_code": "754551530",
            "country_code": "US",
            "telephone_number": "903-606-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKABELUND",
        "first_name": "ANDREW",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "Q1909",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.015588",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01068141A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01068141A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.