Individual provider Active NPI

Kateryna Zelenova, MD

  • Surgery of the Hand (Surgery) Physician
  • Dallas, TX
National Provider Identifier
1114424231
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
W5632 Issued in TX
Practice address
3450 W Wheatland Rd Ste 330
Dallas, TX 75237-4439
Phone
(817) 697-4038
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X W5632 TX Primary

Addresses

Primary practice location

3450 W Wheatland Rd Ste 330
Dallas, TX 75237-4439

Mailing address

923 College Ave Ste 101
Fort Worth, TX 76104-3051
Phone (716) 829-6124

Other practice location 1

923 College Ave Ste 101
Fort Worth, TX 76104-3051
Phone (817) 697-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190129002899 NY Order and Referring Only - General SurgeryPractitioner - General Surgery 7113264102

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

923 College Ave
Suite 101
Fort Worth, TX 76104-3050

923 College Ave
Suite 101
Fort Worth, TX 76104-3051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1114424231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 COLLEGE AVE STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043051",
            "telephone_number": "716-829-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD STE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374439",
            "telephone_number": "817-697-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 College Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043051",
            "country_code": "US",
            "telephone_number": "817-697-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELENOVA",
        "first_name": "KATERYNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "W5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.