DR. KENNARD LEE KOLLAUS (M.D.) – Family Medicine Physician, NPI 1528147063

DR. KENNARD LEE KOLLAUS (M.D.) is a healthcare provider. based in Eagle pass, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G8222 (TX). The NPI Number for DR. KENNARD LEE KOLLAUS (M.D.) is 1528147063

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNARD LEE KOLLAUS (M.D.)
NPI
1528147063
Phone
(830) 773-8917
Address
PO BOX 1470
Enumeration Date
3 November 2006
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8307735358
Graduation Year
1984 (42 years ago)
PAC ID
7517099062
Group Practice PAC ID
7618957135
Professional Enrollment ID
I20100719000415
Address ID
TX788523302EA2525XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. KENNARD LEE KOLLAUS (M.D.)

  • PO BOX 1470

    EAGLE PASS, TX 788531470

    Phone: (830) 773-8917

    Fax: (830) 773-1892

    Type: Mailing

  • Veterans Boulevard, Eagle Pass, Maverick County, Texas, 78852, United States

    EAGLE PASS, TX 788523302

    Phone: (830) 773-5358

    Fax: (830) 773-0258

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,095.

Total Amount is formed as General ($1,095) + Research ($0) + Ownership ($0) = $1,095.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($362).

Total Amount

$1,095

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-07-19

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
I20100719000415IFamily PracticeTXTBD

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 78853)

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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: 7618957135View full group profile
NameSpecialtyState
Pediatric MedicineTX
P O D I A T R YTX
-TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Family PracticeTX
-TX
Mental Health CounselorTX
Internal MedicineTX
Mental Health CounselorTX
-TX

Reviews

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Frequently asked questions

What NPI should I save for DR. KENNARD LEE KOLLAUS (M.D.)?
Save NPI 1528147063 if you need a stable reference for DR. KENNARD LEE KOLLAUS (M.D.).
Is DR. KENNARD LEE KOLLAUS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KENNARD LEE KOLLAUS (M.D.)?
The page reflects Family Medicine Physician for DR. KENNARD LEE KOLLAUS (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KENNARD LEE KOLLAUS (M.D.)?
The snapshot lists Eagle Pass, Texas for DR. KENNARD LEE KOLLAUS (M.D.); download NPPES for the complete set.
What if Eagle Pass, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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