Katherine Elizabeth Allen, MD
Individual provider Active NPI Surgery Physician · Fort Sam Houston, TX
NPI 1851823488 · NPPES record last updated Jan 18, 2023
Key facts
- NPI
- 1851823488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- U0066 (TX)
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 539-9582
- NPI assigned
- Apr 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Louisville School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Specialty Physicians, Inc
Practice addresses (Care Compare)
721 W 13TH St
Jasper, IN 47546-1855
Phone (812) 996-5671
Hospital & facility affiliations
- Memorial Hospital and Health Care Center
- Deaconess Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260331002261 | IN | Practitioner - General Surgery | 5395003206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53558 | KY | MD | Surgery Physician |
| U0066 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Specialty Physicians, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 53558 | KY | |
| Surgery Physician | 208600000X | U0066 | TX | Yes |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (210) 916-3334
Other practice location 1
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-4277
Other providers in Fort Sam Houston, TX
- Theresa Ann Alford
- Christopher L Allam
- Anthony Wayne Allen
- Jasmine Allen
- Kahtonna Charvet Allen
- Leonard Hamilton Allen III
- Paul Benjamin Allen Sr.
- William Roger Allen III
- Angela Ann Allerman
- Carlo Joseph Alphonso
All providers in Fort Sam Houston, TX · Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.