Lake Kiowa Medical Clinic
NPI 1235697350 · Family Medicine Physician · Gainesville, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Kiowa Medical Clinic is a Family Medicine Physician organization in Gainesville, TX (NPI 1235697350).
Provider details
- NPI number
- 1235697350
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Holly Oliveira, Owner(940) 612-5562
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-07
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Frequently asked questions
- What is Lake Kiowa Medical Clinic's NPI number?
- Lake Kiowa Medical Clinic's National Provider Identifier (NPI) is 1235697350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Kiowa Medical Clinic?
- Lake Kiowa Medical Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Kiowa Medical Clinic located?
- Lake Kiowa Medical Clinic's practice location on file with NPPES is 100 Kiowa Dr W Apt 103, Gainesville, TX 76240-9507.
- What is Lake Kiowa Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Lake Kiowa Medical Clinic is (940) 612-5562.
- Does Lake Kiowa Medical Clinic accept Medicare?
- Lake Kiowa Medical Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Kiowa Medical Clinic?
- The authorized official listed on Lake Kiowa Medical Clinic's NPPES record is Holly Oliveira, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Kiowa Medical Clinic's NPI active?
- Yes — Lake Kiowa Medical Clinic's NPI (1235697350) is active in the NPPES registry as of the last update on 2024-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.