Individual provider Active NPI

Michael B Kronenberger, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1790782712
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
K8271 Issued in TX
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

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202140426OtherTXTAX ID #
0023MHOtherTXBC/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000907 TX Practitioner - Otolaryngology 1951353622 Reassigns benefits to 1 organization

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
Ear Nose and Throat Specialty Care PLLCGroup PAC ID 5193770873, 8 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8271TXMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Specialty Care, PLLC Otolaryngology CurrentSince Jan 10, 2005 Accepting new patients
Dent Audiology & Hearing AIDS, LLC Past Accepting new patients
Dallas Ear, Nose & Throat Center PA Otolaryngology PastSince Sep 1, 1999 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.