DR. KAI BAYLEN TUBB (MD) – Emergency Medicine Physician, NPI 1225615875

DR. KAI BAYLEN TUBB (MD) is a healthcare provider. based in Winnsboro, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. BP10076429 (TX). The NPI Number for DR. KAI BAYLEN TUBB (MD) is 1225615875

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAI BAYLEN TUBB (MD)
NPI
1225615875
Phone
(903) 342-5227
Address
719 W Coke Rd
Enumeration Date
28 March 2021
Last Update Date
18 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805314700
Graduation Year
2021 (5 years ago)
PAC ID
4082023478
Group Practice PAC ID
2769824937
Professional Enrollment ID
I20251023003536
Address ID
OK735059635LA5602XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. KAI BAYLEN TUBB (MD)

  • 719 W Coke Rd

    Winnsboro, TX 754943011

    Phone: (903) 342-5227

    Type: Location

  • 8389 S Broadway Ave

    Tyler, TX 757035408

    Phone: (903) 606-6500

    Type: Location

  • 800 E Dawson St

    Tyler, TX 757012036

    Phone: (903) 606-4262

    Type: Location

  • 1509 S Palestine Street

    Athens, TX 75751

    Phone: (903) 606-4262

    Type: Location

  • 2026 S Jackson St

    Jacksonville, TX 757665822

    Phone: (903) 586-5678

    Type: Location

  • 3203 S Main St

    Lindale, TX 757717727

    Phone: (903) 266-4000

    Type: Location

  • 8901 Fm 1960 Bypass Rd W Ste 105

    Humble, TX 773384019

    Phone: (281) 964-2800

    Type: Location

  • 115 Airport Rd

    Sulphur Springs, TX 754822105

    Phone: (903) 885-7671

    Type: Location

  • 22999 HIGHWAY 59 N

    KINGWOOD, TX 773394412

    Phone: (281) 348-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231102002876IEmergency MedicineTXTBD
I20251023003536IEmergency MedicineOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 75494)

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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: 2769824937View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineOK
Emergency MedicineTX
Family Practice, Emergency MedicineIA
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineKY
Emergency MedicineVA
Emergency MedicineOK
Family PracticeOK

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KAI BAYLEN TUBB (MD)'s NPI?
Yes. DR. KAI BAYLEN TUBB (MD) is listed with NPI 1225615875 in the public NPI dataset.
Is DR. KAI BAYLEN TUBB (MD) still practicing?
DR. KAI BAYLEN TUBB (MD) is currently listed as active in the public NPI registry.
What is DR. KAI BAYLEN TUBB (MD) best known for clinically?
Directory data describes DR. KAI BAYLEN TUBB (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KAI BAYLEN TUBB (MD) based?
DR. KAI BAYLEN TUBB (MD) is tied to Winnsboro, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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