Individual provider Active NPI

Keith Ralph Storts, M.D.

  • Obstetrics & Gynecology Physician
  • Arlington, TX
National Provider Identifier
1184626137
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J0292 Issued in TX
Practice address
3201 Matlock Rd Ste 220
Arlington, TX 76015-2947
Phone
(817) 468-1506
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J0292 TX Primary

Addresses

Primary practice location

3201 Matlock Rd Ste 220
Arlington, TX 76015-2947

Mailing address

3201 Matlock Rd Ste 220
Arlington, TX 76015-2947

Other identifiers 1

IdentifierTypeStateIssuer
125798202MedicaidTX

Other names 1

  • None None None Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101202000390 TX Practitioner - Obstetrics/Gynecology 4486724622 Reassigns benefits to 2 organizations
I20201118002322 FL Practitioner - Obstetrics/Gynecology 4486724622

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians

Practice addresses (Care Compare)

3201 Matlock Rd
Suite 220
Arlington, TX 76015-2947
Phone (682) 282-6648

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0292TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
Dallas Medical Specialists, PLLC Obstetrics & Gynecology CurrentSince Jan 13, 2025 Accepting new patients
Lonestar Provider Network Past Accepting new patients
Columbia Medical Center of Arlington Subsidiary LP Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

3201 Matlock Rd
Ste 220
Arlington, TX 76015
Phone (682) 282-6648

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

7777 Forest Ln
Ste C300
Dallas, TX 75230
Phone (972) 566-6000

3500 Gaston Ave
Dallas, TX 75246

900 Jerome St
Ste 204
Fort Worth, TX 76104
Phone (817) 885-7827

1308 Paluxy Rd
Ste 205
Granbury, TX 76048
Phone (817) 489-7450

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

Organizations & group practices 4

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1184626137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 MATLOCK RD STE 220",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 MATLOCK RD STE 220",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152947",
            "telephone_number": "817-468-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORTS",
        "first_name": "KEITH",
        "middle_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J0292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125798202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "middle_name": "NONE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.