Individual provider Active NPI

Kyle Oholendt, M.D.

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1750709374
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R7550 Issued in TX
Practice address
803 W Davis St
Dallas, TX 75208-4954
Phone
(469) 372-6200
Fax
(469) 372-6203
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R7550 TX
Pediatrics Physician 208000000X R7550 TX Primary

Addresses

Primary practice location

803 W Davis St
Dallas, TX 75208-4954

Mailing address

803 W Davis St
Dallas, TX 75208-4954
Phone (469) 372-6200

Other practice location 1

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700

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
I20180912001178 TX Practitioner - Internal Medicine 9234456963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Associates of Southwest DallasGroup PAC ID 3274519293, 37 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

803 W Davis St
Dallas, TX 75208-4954
Phone (469) 372-6200

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7550TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Physician Associates of Southwest Dallas Internal Medicine CurrentSince Jan 25, 2019 Accepting new patients
Medhealth CurrentSince Sep 1, 2018 Accepting new patients

Locations

326 Cooper St
Cedar Hill, TX 75104
Phone (262) 422-2508

950 E Belt Line Rd
Ste 150
Cedar Hill, TX 75104
Phone (972) 291-7863

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

Interoperability endpoints

  • Direct secure messaging: koholendt88200@dm.mhd.com

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 2

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1750709374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084954",
            "telephone_number": "469-372-6200",
            "fax_number": "469-372-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084954",
            "telephone_number": "469-372-6200",
            "fax_number": "469-372-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082382",
            "country_code": "US",
            "telephone_number": "214-947-6700",
            "fax_number": "214-947-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OHOLENDT",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R7550",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R7550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.