Active NPI
Kerri Lee Truelock, MD
- Gynecology Physician
- Kerrville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- M0994
- Practice address
- 176 Fairway Dr
Kerrville, TX 78028-6437 - Phone
- (830) 792-0805
- Fax
- (830) 792-0833
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M0994 | TX | |
| Gynecology Physician | 207VG0400X | M0994 | TX | Primary |
Addresses
Primary practice location
176 Fairway Dr
Kerrville, TX 78028-6437
Mailing address
176 Fairway Dr
Kerrville, TX 78028-6437
Phone (830) 792-0805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BB240 | Other | TX | BCBS OF TEXAS INDIVIDUAL # |
| 173479002 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 Fairway Dr
Kerrville, TX 78028-6437
Phone (830) 792-0805
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.54 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0994 | TX | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Gynecology PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Kerr County OB/GYN Associates, P.a. | Obstetrics & Gynecology | Past | Accepting new patients |
| Peterson Medical Associates | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
218 Sidney Baker St
Kerrville, TX 78028
Phone (830) 257-2070
176 Fairway Dr
Kerrville, TX 78028
Phone (830) 792-0805
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBIEAA
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.
-
dba OB/GYN Associates, P.A.
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1376505925
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1750344883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 FAIRWAY DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286437",
"telephone_number": "830-792-0805",
"fax_number": "830-792-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 FAIRWAY DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286437",
"telephone_number": "830-792-0805",
"fax_number": "830-792-0833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUELOCK",
"first_name": "KERRI",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "M0994",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "M0994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS INDIVIDUAL #",
"identifier": "8BB240",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173479002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.