Individual provider Active NPI

Kwame Appiagyei Ennin, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Plano, TX
National Provider Identifier
1194955328
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
P3712 Issued in TX
Practice address
6020 W Parker Rd Ste 470
Plano, TX 75093-8338
Phone
(972) 608-8868
Fax
(972) 608-0366
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X P3712 TX
Student in an Organized Health Care Education/Training Program 390200000X
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X P3712 TX Primary

Addresses

Primary practice location

6020 W Parker Rd Ste 470
Plano, TX 75093-8338

Mailing address

6020 W Parker Rd Ste 470
Plano, TX 75093-8338
Phone (972) 608-8868

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
I20150616002279 TX Practitioner - Orthopedic Surgery 9335450451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Joint Institute, PLLCGroup PAC ID 8325206584, 40 clinicians

Practice addresses (Care Compare)

1125 Raintree Cir
Suite 201
Allen, TX 75013-5288
Phone (972) 566-5255

12228 N Central Expy
Suite 410
Dallas, TX 75243-3797
Phone (972) 566-5255

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

3901 W 15TH St
Medical City Plano
Plano, TX 75075-7738
Phone (972) 593-6800

4001 W 15TH St
Suite 180
Plano, TX 75093-5836
Phone (972) 566-5255

4201 Medical Ctr Dr
Suite 100
McKinney, TX 75069-1766
Phone (972) 566-5255

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000

4510 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (817) 233-1016

4650 President George Bush Tpke
Suite 100
Sachse, TX 75048-4980
Phone (972) 566-5255

4750 President George Bush Tpke
Sachse, TX 75048-4283
Phone (945) 320-9000

5500 Frisco Square Blvd
Frisco, TX 75034-3305
Phone (214) 618-0500

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 488-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement28
Knee replacement56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3712TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jul 1, 2015 Accepting new patients
Texas Health Physicians Group CurrentSince Jul 1, 2015 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Joint Institute, PLLC Orthopaedic Surgery CurrentSince Feb 1, 2023 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Ste C135
Dallas, TX 75230
Phone (972) 566-5051

4201 Medical Center Dr
Ste 100
McKinney, TX 75069
Phone (469) 796-4295

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

6020 W Parker Rd
Ste 470
Plano, TX 75093
Phone (972) 608-8868

4001 W 15th St
Ste 180
Plano, TX 75093
Phone (214) 930-1252

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1194955328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 470",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938338",
            "telephone_number": "972-608-8868",
            "fax_number": "972-608-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 470",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938338",
            "telephone_number": "972-608-8868",
            "fax_number": "972-608-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIN",
        "first_name": "KWAME",
        "middle_name": "APPIAGYEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P3712",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "P3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.