Individual provider Active NPI

Emmanuel Kuyinu, M.D.

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1154853406
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101265763 Issued in VA
Practice address
2101 Cedar Springs Rd
Dallas, TX 75201-2104
Phone
(713) 820-5039
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X S0716 TX
General Practice Physician 208D00000X 0101265763 VA Primary

Addresses

Primary practice location

2101 Cedar Springs Rd
Dallas, TX 75201-2104

Mailing address

9211 Havencrest Dr
Houston, TX 77083-5817
Phone (713) 820-5039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190522003049 TX Practitioner - General Practice 4880965094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Meharry Medical College School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skilled Biologics IncGroup PAC ID 4880132760, 25 clinicians
Skilled Facility Health Care Solutions IncGroup PAC ID 9032299144, 60 clinicians

Practice addresses (Care Compare)

McKinney, TX 75071
Phone (310) 445-5999

914 Brazosport N Blvd
Creekside Village
Richwood, TX 77531-3720
Phone (979) 265-4794

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue3152
Removal of skin lesions403
Removal of nail tissue1-10
Removal or shaving of skin growth155
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S0716TXMDGeneral Practice Physician
0101265763VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Biologics, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Apr 9, 2019 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

4315 Hopkins Ave
Dallas, TX 75209
Phone (214) 358-3131

2101 Cedar Springs Rd
Ste 1050
Dallas, TX 75201
Phone (318) 548-9748

8017 W Virginia Dr
Dallas, TX 75237
Phone (972) 709-1112

330 W Camp Wisdom Rd
Duncanville, TX 75116
Phone (972) 298-3398

5801 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 346-3030

8703 Davis Blvd
Keller, TX 76248
Phone (817) 577-9999

2170 N Lake Forest Dr
McKinney, TX 75071
Phone (817) 268-8103

3109 Kings Ct
Richland Hills, TX 76118
Phone (254) 631-5342

914 Brazosport Blvd N
Richwood, TX 77531
Phone (979) 230-0407

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1154853406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 HAVENCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835817",
            "telephone_number": "713-820-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012104",
            "telephone_number": "713-820-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYINU",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "S0716",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101265763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.