Individual provider Active NPI

Kenneth C Kroll, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1831179589
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0538 Issued in TX
Practice address
1004 W 32ND St
Ste 400
Austin, TX 78705-1915
Phone
(512) 454-5171
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H0538 TX
Internal Medicine Physician 207R00000X H0538 TX Primary

Addresses

Primary practice location

1004 W 32ND St
Ste 400
Austin, TX 78705-1915

Mailing address

1004 W 32ND St
Ste 400
Austin, TX 78705-1915
Phone (512) 454-5171

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
I20091104000620 TX Practitioner - Internal Medicine 2264509520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Medical Clinic, LLPGroup PAC ID 0648281972, 18 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
Suite 400
Austin, TX 78705-1914
Phone (512) 454-5171

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, San Antonio, TX, CCN 679044
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0538TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Clinic, LLP Internal Medicine CurrentSince Jul 11, 1988 Accepting new patients

Locations

1004 W 32nd St
Ste 400
Austin, TX 78705
Phone (512) 454-5171

1301 W 38th St
Ste 601
Austin, TX 78705
Phone (512) 454-5171

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27378/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 4

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1831179589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST",
            "address_2": "STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-454-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST",
            "address_2": "STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-454-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H0538",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H0538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.