CONNOR KICKHOEFER
NPI 1265129126
Pediatrics - Developmental - Behavioral Pediatrics in San Antonio, TX

Q: What is Connor Kickhoefer's NPI number?

The NPI number for Connor Kickhoefer is 1265129126. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Q: What is Connor Kickhoefer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Connor Kickhoefer was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 20, 2023PECOS Enrolled

8435 WURZBACH RD, SAN ANTONIO, TX 78229(210) 450-7334 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Connor Kickhoefer NPPES

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

CONNOR KICKHOEFER (NPI 1265129126) is an individual developmental - behavioral pediatrics provider in San Antonio, Texas, licensed in Texas (W4515) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265129126

Entity TypeIndividualMale

Primary Taxonomy2080P0006X

Provider Legal NameCONNOR KICKHOEFER

Location Address8435 WURZBACH RDSan Antonio, TX 78229-3921

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901

Phone(210) 450-7334

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 20, 2023

Last NPPES UpdateApril 14, 2026

NPPES CertifiedApril 14, 2026

✔ NPI 1265129126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in TX · W4515

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8435 WURZBACH RD, San Antonio, TX 78229

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Kickhoefer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305315110

PECOS Enrollment IDI20260520003644

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.

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.

DR. PRADEEP YARRA MD

Internal Medicine (Gastroenterology)