DR. KATIE LYNN CANALICHIO M.D.
NPI 1669815148
Urology - Pediatric Urology in Temple, TX

Active since April 15, 2013PECOS EnrolledAccepts Medicare Assignment
45.03/100
CMS Quality Rating
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502(254) 724-5437 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Jul 8, 2025, Oct 13, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Katie Lynn Canalichio M.d. NPPES

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

DR. KATIE LYNN CANALICHIO M.D. (NPI 1669815148) is an individual pediatric urology provider in Temple, Texas, licensed in Texas (V9568) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1669815148
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameDR. KATIE LYNN CANALICHIOCredential: M.D.
Location Address1901 SW H K DODGEN LOOPTemple, TX 76502-1814
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 15, 2013
Last NPPES UpdateSeptember 3, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1669815148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in TX · V9568✔ Licensed in WA · MD60830944
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD60830944 (WA)
1901 SW H K DODGEN LOOP, Temple, TX 76502

Secondary Practice Location 1

Location 12401 S 31st St # MS 29C269Temple, TX 76508-0001 · Phone (254) 724-1773 · Fax (254) 724-6836

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

Dr. Katie Lynn Canalichio M.d. 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.

PECOS PAC ID7517212590
PECOS Enrollment IDI20250717002917
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 Reassignments

2

Medicare enrollment records show Katie Canalichio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2401 S 31ST ST
Temple, TX 76508
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 clinicians in this Medicare group
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

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.

45.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality30.6
Improvement Activities40
Cost27.35

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.

Nurse Practitioner (Neonatal, Critical Care)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Emergency Medicine (Emergency Medical Services)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Pediatrics
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Pharmacy (Community/Retail Pharmacy)
1901 SW H K DODGEN LOOP, BUILDING 300
TEMPLE, TX 76502
Emergency Medicine
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Skilled Nursing Facility
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Pediatrics (Pediatric Pulmonology)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Occupational Therapist (Pediatrics)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502

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 Katie Canalichio's NPI number?

The NPI number for Katie Canalichio is 1669815148. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Katie Canalichio located?

Katie Canalichio practices at 1901 SW H K Dodgen Loop, Temple, TX 76502. The listed phone number is (254) 724-5437.

What is Katie Canalichio's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Katie Canalichio enrolled in Medicare?

Yes. Katie Canalichio 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 organizations bill Medicare for Katie Canalichio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Canalichio reassigns Medicare benefits to 2 organizations: Scott & White Clinic (Temple, TX) and Norton Children's Medical Group, LLC (Louisville, KY). Each 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 Katie Canalichio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Canalichio accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Katie Canalichio 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 Katie Canalichio affiliated with any hospitals?

According to CMS data, Katie Canalichio is affiliated with Baylor Scott & White Medical Center - Temple.

When was this NPI record last updated?

The NPPES record for Katie Canalichio was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.