Kyle B Hudson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L1076 Issued in TX

Practice address

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600

Phone

(702) 653-2965

NPI assigned

Sep 13, 2005

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tejas Health CareGroup PAC ID 1153470067, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, San Antonio, TX, CCN 679044
• Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
• Elara Caring Home health agency, Round Rock, TX, CCN 457661
• Columbus Community Hospital Hospital, Columbus, TX, CCN 450370
• Ascension Seton Smithville Hospital, Smithville, TX, CCN 671304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kyle.hudson.p1@direct.tejashealthcare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tejas Health Care

  • Federally Qualified Health Center (FQHC)
  • La Grange, TX
  • NPI 1073779500

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Tejas Health Care

  • Federally Qualified Health Center (FQHC)
  • Giddings, TX
  • NPI 1215326491
  NPD
• James-Leach, Inc.

  dba Country Club House

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • La Grange, TX
  • NPI 1598808743
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advanced HH, LLC

  dba Advanced Home Health Services

  • Home Health Agency
  • Seguin, TX
  • NPI 1598701716
  Care Compare affiliation
• Ascension Seton

  dba Ascension Seton Smithville

  • Critical Access Hospital
  • Smithville, TX
  • NPI 1619726064
  Care Compare affiliation
• Columbus Community Hospital

  • Rural Acute Care Hospital
  • Columbus, TX
  • NPI 1740238641
  Care Compare affiliation
• Hallmark Homecare, L.P.

  dba Enhabit Home Health

  • Home Health Agency
  • San Antonio, TX
  • NPI 1902886278
  Care Compare affiliation
• Texas Home Healthcare Partners, LP

  dba Elara Caring

  • Home Health Agency
  • Round Rock, TX
  • NPI 1174569628
  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1871588236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KYLE",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Hsieh, MD
• Wendy C Huang, MD
• Daniel Hubbard, PA-C
• Brent Joshua Huddleston, M.D.
• Joseph C Hudson, MD
• Charles Alan Huggins, D.D.S.
• Pamela R Hughes, M.D.
• Brent Hunter, DO
• John Warden Hutchison
• Hai-Phuong Huynh, CRNA

• Family Medicine Physician in Nellis AFB, NV
• Providers in Nellis AFB, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.

Verify at the official NPI Registry.