Individual provider Active NPI

Kristyn Warken Payne, M.D.

  • Dermatology Physician
  • The Woodlands, TX
National Provider Identifier
1780628644
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M2443 Issued in TX
Practice address
9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3180
Phone
(281) 363-5050
Fax
(281) 363-5020
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M2443 TX Primary

Addresses

Primary practice location

9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3180

Mailing address

9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3180
Phone (281) 363-5050

Other identifiers 3

IdentifierTypeStateIssuer
7941899OtherAETNA
P00455498OtherRAILROAD MEDICARE
8J5522OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Kristyn Anne Warken Former name

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
I20070124000633 TX Practitioner - Dermatology 0941201503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Sonabend MD PAGroup PAC ID 6901045665, 28 clinicians

Practice addresses (Care Compare)

134 Vision Park Blvd
Suite 200
Shenandoah, TX 77384-3032
Phone (281) 573-8333

508 Medical Ctr Blvd
Suite 380
Conroe, TX 77304-2954
Phone (281) 240-4313

7616 Branford PL
Suite 240
Sugar Land, TX 77479-3794
Phone (281) 240-4313

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1381
Removal or shaving of skin growth21
Skin biopsy174

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Sonabend M.D., P.a. Dermatology CurrentSince Sep 1, 2017 Accepting new patients
Complete Labs PLLC Current Accepting new patients

Locations

508 Medical Center Blvd
Ste 380
Conroe, TX 77304
Phone (281) 240-4313

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1780628644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR",
            "address_2": "SUITE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803180",
            "telephone_number": "281-363-5050",
            "fax_number": "281-363-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR",
            "address_2": "SUITE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803180",
            "telephone_number": "281-363-5050",
            "fax_number": "281-363-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KRISTYN",
        "middle_name": "WARKEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M2443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7941899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00455498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8J5522",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTYN",
            "last_name": "WARKEN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.