Active NPI
Michael B Kronenberger, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Dallas, TX
National Provider Identifier
1790782712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- K8271
- Practice address
- 411 N Washington Ave Ste 7000
Dallas, TX 75246-1791 - Phone
- (214) 826-3681
- Fax
- (214) 826-7277
- NPI assigned
- Jul 5, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | K8271 | TX | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | K8271 | TX | Primary |
Addresses
Primary practice location
411 N Washington Ave Ste 7000
Dallas, TX 75246-1791
Mailing address
411 N Washington Ave Ste 7000
Dallas, TX 75246-1791
Phone (214) 826-3681
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202140426 | Other | TX | TAX ID # |
| 0023MH | Other | TX | BC/BS PROVIDER # |
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
- Otolaryngology
- Education
- Baylor College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 N Washington Ave
Suite 7000
Dallas, TX 75246-1791
Phone (214) 826-3681
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8271 | TX | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Specialty Care, PLLC | Otolaryngology | Current | Accepting new patients |
| Dent Audiology & Hearing AIDS, LLC | Past | Accepting new patients | |
| Dallas Ear, Nose & Throat Center PA | Otolaryngology | Past | Accepting new patients |
Locations
411 N Washington Ave
Ste 7000
Dallas, TX 75246
Phone (214) 823-7090
411 N Washington Ave
Ste 6400
Dallas, TX 75246
Phone (214) 826-3681
Interoperability endpoints
- https://api.platform.athenahealth.com/5576/brand/1/csg/1/fhir/r4
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Dallas, TX
- NPI 1912069766
-
- Otolaryngology Physician
- Dallas, TX
- NPI 1144418690
-
- Audiologist-Hearing Aid Fitter
- Dallas, TX
- NPI 1629239264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1790782712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE STE 7000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461791",
"telephone_number": "214-826-3681",
"fax_number": "214-826-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE STE 7000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461791",
"telephone_number": "214-826-3681",
"fax_number": "214-826-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONENBERGER",
"first_name": "MICHAEL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "K8271",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "TX",
"license": "K8271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "202140426",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "0023MH",
"state": "TX"
}
],
"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 Jan 13, 2025; 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.