KYLE B HUDSON (M.D.) – Family Medicine Physician, NPI 1871588236

KYLE B HUDSON (M.D.) is a healthcare provider. based in Jbsa-randolph, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. L1076 (TX). The NPI Number for KYLE B HUDSON (M.D.) is 1871588236

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KYLE B HUDSON (M.D.)
NPI
1871588236
Phone
(210) 519-7502
Address
359 MEDICAL GROUP
Enumeration Date
13 September 2005
Last Update Date
26 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9799682000
Graduation Year
1999 (27 years ago)
PAC ID
2163820432
Group Practice PAC ID
1153470067
Professional Enrollment ID
I20230721002867
Address ID
TX789452364LA890XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for KYLE B HUDSON (M.D.)

  • 359 MEDICAL GROUP

    221 THIRD STREET WEST

    JBSA-RANDOLPH, TX 78150

    Phone: (210) 519-7502

    Type: Mailing

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-2965

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Dexcom, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$27
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: 2023-07-21

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
I20230721002867IFamily 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 78150)

Loading plans...

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: 1153470067View full group profile
NameSpecialtyState
Internal MedicineTX
Emergency Medicine, Family PracticeTX
Clinical PsychologistTX
-TX
P S Y C H I A T R YCA
Clinical Social WorkerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify KYLE B HUDSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1871588236 for KYLE B HUDSON (M.D.).
Is KYLE B HUDSON (M.D.)'s NPI status active today?
Active status means KYLE B HUDSON (M.D.)'s NPI record is not deactivated in the public file.
What services align with KYLE B HUDSON (M.D.)'s listing?
KYLE B HUDSON (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KYLE B HUDSON (M.D.) in Jbsa-Randolph, Texas?
For routing, start with Jbsa-Randolph, Texas for KYLE B HUDSON (M.D.), then verify phone and hours locally.
Why is information missing for KYLE B HUDSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

DR. EDWIN KEITH BURKETT (M.D.)

Family Medicine Physician
359 MEDICAL GROUP, 221 THIRD STREET WEST
NPI: 1760475362

JENNIFER LYNN RAVENSCROFT (D.O.)

Family Medicine Physician
550 C ST. WEST
NPI: 1073501946

DR. IVAN D PETRICH (DO)

Family Medicine Physician
90 HOPE DR
NPI: 1639527096