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Active NPI 1255518486 Individual Practitioner Female Practitioner

Dr. Ehrentraud Johanna Eichelbaum , MD

General Practice • Katy, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ehrentraud Eichelbaum, MD is a certified General Practice practicing in Katy, TX. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Eichelbaum delivers high-quality medical care to the local community at 21685 KINGSLAND BLVD.

Dr. Eichelbaum is affiliated with C3 Wellness Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using manual technique, each, therapy procedure using functional activities, application of blood vessel compression device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21685 Kingsland Blvd

Katy, TX 774502512

Telephone 3465942104
Fax 3465942103
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Katy, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +12.3 yrs vs City Avg
City Avg: 25.7 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Katy, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Eichelbaum (38 Years) 38 Yrs
Katy Specialty Average (25.7 Years) 25.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes
1,048 71 $53.70 $19.82
97530 Therapy procedure using functional activities
191 67 $72.86 $33.79
97016 Application of blood vessel compression device
83 35 $23.38 $8.74
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
42 11 $58.24 $22.34

Medical Specialties & State Licenses

CMS Verified: 2026-07-24
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX U7674

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License TX U7674

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 18573

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License FL ME140028

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

C3 Wellness Llc

1060 Cypress Pkwy, Kissimmee, FL 347593328

Phone: 40791491681

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Louis Anderson , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1326234832

Doctor of Dental Surgery, Master of Science

Dr. Panagiotis Kyteas , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1336619469

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 24, 2026

Registered at 21685 KINGSLAND BLVD, KATY, TX 774502512 (Tel: 3465942104)

📍
Updated Business Mailing Address July 24, 2026

Registered at 8514 SUN CORAL DR, CYPRESS, TX 774337529 (Tel: 9417794869)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2026

Plastic Surgery (License #U7674 in TX)

📍
Updated Practice Location June 05, 2019

Registered at 212 S FLORIDA ST, BUSHNELL, FL 335136703 (Tel: 3527932441)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Specialist/Technologist, Other (License #238000185 in IL)

NPI Profile Active June 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2014

Registered at 107 W CENTRAL AVE, HOWEY IN THE HILLS, FL 347374302 (Tel: 3527871600)

📍
Updated Business Mailing Address June 09, 2014

Registered at 1113 LATTIMORE DR, CLERMONT, FL 347119032 (Tel: 9417794869)

👤
Provider Name / Credentials Updated June 09, 2014

Recorded as EHRENTRAUD EICHELBAUM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2014

General Practice (License #18573 in PR)

🟢
Initial NPI Registration & Enumeration January 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255518486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2008
Last Update: July 24, 2026
Sole Proprietor: Yes

Mailing Address

8514 Sun Coral Dr

Cypress, TX 774337529

Phone: 9417794869

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.