KATHERINE ROOT (MD) – Specialist, NPI 1083932818

KATHERINE ROOT (MD) is a healthcare provider. based in Tyler, Texas. specializing in Specialist. They hold the professional credentials MD. They hold a License No. P4701 (TX). The NPI Number for KATHERINE ROOT (MD) is 1083932818

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE ROOT (MD)
NPI
1083932818
Phone
(903) 535-9041
Address
2231 W Gentry Pkwy
Enumeration Date
4 May 2010
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035963500
Graduation Year
2010 (16 years ago)
PAC ID
2567606445
Group Practice PAC ID
4486915600
Professional Enrollment ID
I20130916000064
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for KATHERINE ROOT (MD)

  • 2231 W Gentry Pkwy

    Tyler, TX 757022809

    Phone: (903) 535-9041

    Fax: (903) 787-5098

    Type: Location

  • 1000 E 5TH ST

    SUITE 400

    TYLER, TX 757013346

    Phone: (903) 596-3500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $305.

Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Genentech USA, Inc. ($140).

Total Amount

$305

General + Research + Ownership

Payments

6

Total payment records

General Amount

$305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130916000064IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75702)

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Provider's Procedures

KATHERINE ROOT (MD) performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX83036Hemoglobin A1C level3939

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486915600View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHERINE ROOT (MD)?
KATHERINE ROOT (MD) — NPI 1083932818 — is the standard way to identify this listing.
Is KATHERINE ROOT (MD) still practicing?
KATHERINE ROOT (MD) is currently listed as active in the public NPI registry.
What is KATHERINE ROOT (MD)'s specialty?
The listing groups KATHERINE ROOT (MD) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Where should I expect KATHERINE ROOT (MD) on a map?
Expect Tyler, Texas as a primary anchor for KATHERINE ROOT (MD) unless the record lists multiple sites.
Why does KATHERINE ROOT (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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