Active NPI
Kelli Bouvais Satterwhite, M.D.
- Family Medicine Physician
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M9634
- Practice address
- 6341 Campus Circle Dr E Ste 150
Irving, TX 75063-2712 - Phone
- (817) 887-0017
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | M9634 | TX | |
| Family Medicine Physician | 207Q00000X | M9634 | TX | Primary |
Addresses
Primary practice location
6341 Campus Circle Dr E Ste 150
Irving, TX 75063-2712
Mailing address
6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (847) 692-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Harvard Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5111 S McColl Rd
Edinburg, TX 78539-8278
5501 S McColl Rd
Edinburg, TX 78539-5503
5501 S McColl Rd
Edinburg, TX 78539-9152
6400 Shafer CT
Suite 700
Rosemont, IL 60018-4989
9450 SW Gemini Dr
Pmb49084
Beaverton, OR 97008-0105
PO Box
Suite 749
Pharr, TX 78577
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9634 | TX | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Practice, L.L.P | Family Medicine | Current | Accepting new patients |
| Seasons Medical Group of Texas, PLLC | Hospice and Palliative Medicine | Current | Accepting new patients |
| Villagemd of Southeast Texas, PA | Family Medicine | Current | Accepting new patients |
| Seasons Hospice & Palliative Care of Texas, Inc | Family Medicine | Past | Accepting new patients |
Locations
6400 Shafer Ct
Ste 700
Rosemont, IL 60018
17855 Dallas Pkwy
Ste 300A
Dallas, TX 75287
Phone (817) 887-0017
9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954
18652 McKay Dr
Humble, TX 77338
Phone (281) 446-1014
6341 Campus Circle Dr E
Ste 150
Irving, TX 75063
Phone (817) 887-0017
Interoperability endpoints
- kelli.satterwhite.1@13711.direct.athenahealth.com
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Irving, TX
- NPI 1275931545
-
- Family Medicine Physician
- Houston, TX
- NPI 1083619191
-
- Family Medicine Physician
- Houston, TX
- NPI 1841643327
-
- Community Based Hospice Care Agency
- Dallas, TX
- NPI 1144395195
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Humble, TX
- NPI 1376870840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1952526071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SHAFER CT STE 700",
"city": "ROSEMONT",
"state": "IL",
"postal_code": "600184989",
"telephone_number": "847-692-1000",
"fax_number": "224-532-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6341 CAMPUS CIRCLE DR E STE 150",
"city": "IRVING",
"state": "TX",
"postal_code": "750632712",
"telephone_number": "817-887-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATTERWHITE",
"first_name": "KELLI",
"middle_name": "BOUVAIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "M9634",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M9634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.