Individual provider Active NPI

Kristen Michelle Ankrom, MD

  • Gastroenterology Physician
  • Lakeway, TX
National Provider Identifier
1730535865
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
S1927 Issued in TX
Practice address
200 Medical Pkwy Ste 210
Lakeway, TX 78738-1793
Phone
(512) 654-1234
Fax
(512) 654-0321
NPI assigned
May 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X S1927 TX Primary
Internal Medicine Physician 207R00000X S1927 TX
Internal Medicine Physician 207R00000X BP10057666 TX

Addresses

Primary practice location

200 Medical Pkwy Ste 210
Lakeway, TX 78738-1793

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-2364

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kstephenson47269@direct.sw.org Direct

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
I20220420002608 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 5698056414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

100 Medical Pkwy
Lakeway, TX 78738-5621
Phone (512) 571-5000

1001 Westbank Dr
Baylor Scott and White Clinic Westlake
Baylor Scott & White Clin, TX 78746-6669
Phone (512) 654-4150

10815 Ranch Rd
2222 Suite 100
Austin, TX 78730-1159
Phone (512) 327-4262

11673 Jollyville Rd
Suite 205
Austin, TX 78759-4211
Phone (512) 568-3565

16018 W Hwy 71 Pass
Baylor Scott and White Clinic Bee Cave
Bee Cave, TX 78738-7115
Phone (512) 654-3900

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

200 E Cesar Chavez St
G140 Baylor Scott and White Clinic Austi
Austin, TX 78701-4289
Phone (512) 654-4100

200 Medical Pkwy
Lakeway, TX 78738-1794

3108 Ranch Rd 620
Lakeway, TX 78738-5635
Phone (512) 654-4200

5000 W Slaughter LN 100 BLDG
6 Baylor Scott and White Clinic Austi
Austin, TX 78749-4015
Phone (512) 291-8002

5245 W Hwy 290
Baylor Scott and White Medical Center Austi
Austin, TX 78735-8963
Phone (512) 654-2100

5251 W Hwy 290
Baylor Scott and White Clinic Austin Oak Hi
Austin, TX 78735-8963
Phone (512) 654-3000

5251 W Hwy 290 100
Baylor Scott and White Cancer and Infusion Ce
Austin, TX 78735-8963
Phone (512) 654-4319

5330 Overpass Rd
Buda, TX 78610-2300

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034
  • Baylor Scott & White Medical Center- Austin Hospital, Austin, TX, CCN 670136
  • Baylor Scott & White Medical Center - Marble Falls Hospital, Marble Falls, TX, CCN 670108
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Baylor Scott & White Medical Center - Buda Hospital, Buda, TX, CCN 670131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy78
Upper gastrointestinal (GI) endoscopy for acid reflux97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100

5251 W Highway 290
Austin, TX 78735
Phone (512) 654-3000

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

200 Medical Pkwy
Ste 210
Lakeway, TX 78738
Phone (512) 654-1234

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: kstephenson47269@direct.sw.org

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.

Hospital & facility affiliations 6

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": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1730535865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY STE 210",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381793",
            "telephone_number": "512-654-1234",
            "fax_number": "512-654-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANKROM",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "S1927",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S1927",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10057666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstephenson47269@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Medical Pkwy Ste 210",
            "city": "Lakeway",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787381793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.