KRISTI PROPHET MD
NPI 1134680671
Family Medicine in Houston, TX
About Kristi Prophet Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTI PROPHET MD (NPI 1134680671) is an individual family medicine provider in Houston, Texas, licensed in Texas (47841) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristi Prophet Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kristi Prophet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harris Health System
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77028
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristi Prophet's NPI number?
The NPI number for Kristi Prophet is 1134680671. It was assigned to this individual provider in the NPPES registry on March 27, 2019.
Where is Kristi Prophet located?
Kristi Prophet practices at 9105 N Wayside Dr, Houston, TX 77028. The listed phone number is (713) 633-2020.
What is Kristi Prophet's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kristi Prophet enrolled in Medicare?
Yes. Kristi Prophet is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristi Prophet's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Prophet reassigns Medicare benefits to Ut Physicians (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristi Prophet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristi Prophet accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kristi Prophet as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kristi Prophet affiliated with any hospitals?
According to CMS data, Kristi Prophet is affiliated with Harris Health System.
When was this NPI record last updated?
The NPPES record for Kristi Prophet was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kristi Prophet, MD · NPI 1134680671
Family Medicine physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1134680671 (Entity type: Individual)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 47841 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9105 N WAYSIDE DR, Houston, TX 77028-1030
- **Phone:** (713) 633-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ut Physicians (NPI 1033157821, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1134680671) · Data from the CMS NPPES public registry.