Individual provider Active NPI

Keith J Paull, M.D.

  • Specialist
  • College Station, TX
National Provider Identifier
1992798532
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L8161 Issued in TX
Practice address
3251 Harvey Rd
College Station, TX 77845-9407
Phone
(979) 776-0700
Fax
(979) 776-5624
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L8161 TX Primary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X L8161 TX

Addresses

Primary practice location

3251 Harvey Rd
College Station, TX 77845-9407

Mailing address

3251 Harvey Rd
College Station, TX 77845-9407
Phone (979) 776-0700

Other identifiers 1

IdentifierTypeStateIssuer
164719002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040609001518 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1355324427 Reassigns benefits to 1 organization
O20240129000188 TX Part B Supplier - Clinic/Group Practice 0143673905 Receives reassigned benefits from 1 practitioner
Practice locations: College Station, TX

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Texas a & M University System, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3201 University Dr E
Suite 245
Bryan, TX 77802-3483
Phone (979) 776-0700

Hospital & facility affiliations

  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8161TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Paull Allergy & Asthma Clinic, P.a Single Specialty CurrentSince Feb 6, 2006 Accepting new patients
Summit Pediatrics Single Specialty CurrentSince Aug 27, 2023 Accepting new patients
St Davids Heart & Vascular, PLLC Single Specialty Past Accepting new patients
The Paull Allergy and Asthma Clinic Specialist Past Accepting new patients

Locations

301 E Academy St
Brenham, TX 77833
Phone (979) 451-9111

600 N Park St
Brenham, TX 77833
Phone (409) 836-6153

3201 University Dr E
Ste 245
Bryan, TX 77802
Phone (979) 721-9821

3251 Harvey Rd
College Station, TX 77845
Phone (979) 776-0700

3251 Harvey Rd
Ste 200
College Station, TX 77845
Phone (979) 776-0700

843 E Industry St
Ste 1
Giddings, TX 78942
Phone (979) 542-7400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGAEDD/Endpoint/HGAEDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1992798532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 HARVEY RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459407",
            "telephone_number": "979-776-0700",
            "fax_number": "979-776-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 HARVEY RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459407",
            "telephone_number": "979-776-0700",
            "fax_number": "979-776-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULL",
        "first_name": "KEITH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8161",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L8161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164719002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.