Active NPI
Kyle Oholendt, M.D.
- Pediatrics Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R7550
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Green Oaks Physical Therapy Limited Partnership
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
- Methodist Charlton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7550 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Internal Medicine | Current | Accepting new patients |
| Physician Associates of Southwest Dallas | Internal Medicine | Current | Accepting new patients |
| Medhealth | Current | 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
- 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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Internal Medicine
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.