Individual provider Active NPI

Howard Evan Kweller, M.D.

  • Family Medicine Physician
  • Greenville, TX
National Provider Identifier
1952385494
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F5613 Issued in TX
Practice address
4101 Wesley Street
Ste C
Greenville, TX 75401
Phone
(903) 454-8111
Fax
(903) 454-1680
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F5613 TX Primary

Addresses

Primary practice location

4101 Wesley Street
Ste C
Greenville, TX 75401

Mailing address

PO Box 8128
Greenville, TX 75404-8128
Phone (903) 454-8111

Other identifiers 1

IdentifierTypeStateIssuer
037478702MedicaidTX

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
I20100312000382 TX Practitioner - Family PracticePractitioner - General Practice 6002987245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Icahn School of Medicine at Mount Sinai, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dee G. McCrary Jr. MD PAGroup PAC ID 9234020553, 5 clinicians

Practice addresses (Care Compare)

4101 Wesley St
Suite C
Greenville, TX 75401-5635
Phone 903454811115905

Hospital & facility affiliations

  • Family First Home Health LLC Home health agency, Greenville, TX, CCN 747238
  • Family First Hospice Hospice, Greenville, TX, CCN 971717
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F5613TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dee G. McCrary Jr. MD PA Family Medicine CurrentSince May 1, 2016 Accepting new patients
Hopkins County Hospital District Current Accepting new patients
Howard E. Kweller, M.D. PA PastSince Jun 8, 2010 Accepting new patients
Suzanne E Monday MD Family Medicine Past Accepting new patients

Locations

4101 Wesley St
Ste Bc
Greenville, TX 75401
Phone (682) 282-4460

4101 Wesley St
Ste C
Greenville, TX 75401
Phone (903) 454-8111

Interoperability endpoints

  • Direct secure messaging: howard.kweller@gha.eclinicaldirectplus.com
  • Direct secure messaging: howardk@direct.hcmh.md

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family First HospiceGreenville, TX, CCN 971717 Hospice Contracted Managing Employee Mar 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 3

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1952385494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8128",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754048128",
            "telephone_number": "903-454-8111",
            "fax_number": "903-454-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WESLEY STREET",
            "address_2": "STE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-454-8111",
            "fax_number": "903-454-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWELLER",
        "first_name": "HOWARD",
        "middle_name": "EVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F5613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037478702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.