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RUSSELL WILLIAM KRIDEL MD
NPI 1194889642
Otolaryngology - Facial Plastic Surgery in Houston, TX

Active since December 20, 2006PECOS Enrolled
6655 TRAVIS ST STE 900, HOUSTON, TX 77030(713) 526-5665(713) 526-5160 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Russell William Kridel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL WILLIAM KRIDEL MD (NPI 1194889642) is an individual facial plastic surgery provider in Houston, Texas, licensed in Texas (E5815) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1194889642
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameRUSSELL WILLIAM KRIDELCredential: MD
Location Address6655 TRAVIS ST STE 900Houston, TX 77030-1336
Mailing Address6655 Travis St Ste 900Houston, TX 77030-1336 · (713) 526-5665 · Fax (713) 526-5160
Phone(713) 526-5665
Fax(713) 526-5160
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1194889642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in TX · E5815
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License E5815 (TX)
6655 TRAVIS ST STE 900, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell William Kridel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315840139
PECOS Enrollment IDI20260716005091
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Russell Kridel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utmb Faculty Group Practice
47 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLELIE CLAIRE CARPENTER MELANCON M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
6655 TRAVIS ST STE 900
HOUSTON, TX 77030
Harris County (713) 526-5665
TYMON TAI MD
Student in an Organized Health Care Education/Training Program
6655 TRAVIS ST STE 900
HOUSTON, TX 77030
Harris County (832) 353-2880

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 Russell Kridel's NPI number?

The NPI number for Russell Kridel is 1194889642. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Russell Kridel located?

Russell Kridel practices at 6655 Travis St Ste 900, Houston, TX 77030. The listed phone number is (713) 526-5665.

What is Russell Kridel's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Russell Kridel enrolled in Medicare?

Yes. Russell Kridel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Russell Kridel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Kridel reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, 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 Russell Kridel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Russell Kridel accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Russell Kridel 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.

When was this NPI record last updated?

The NPPES record for Russell Kridel was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.