Individual provider Active NPI

Kanenechukwu Virginia Ubesie, MD, MBA, FACS

  • Surgery Physician
  • Carrollton, TX
National Provider Identifier
1205026333
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q6716 Issued in TX
Practice address
4333 N Josey LN Ste 101
Carrollton, TX 75010-4620
Phone
(972) 850-6122
NPI assigned
Jul 25, 2007
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Q6716 TX Primary
Surgical Critical Care Physician 2086S0102X Q6716 TX
Trauma Surgery Physician 2086S0127X Q6716 TX

Addresses

Primary practice location

4333 N Josey LN Ste 101
Carrollton, TX 75010-4620

Mailing address

8700 Stonebrook Pkwy Unit 958
Frisco, TX 75034-5804
Phone (972) 850-6122

Other names 1

  • Kanene V. Ubesie Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160310000106 TX Practitioner - General Surgery 2860710175 Reassigns benefits to 5 organizations
I20250520002432 WI Practitioner - General Surgery 2860710175 Reassigns benefits to 1 organization
I20251007002720 GA Practitioner - General Surgery 2860710175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 321-9300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Physician Group CurrentSince Feb 1, 2016 Accepting new patients
Dean Health Systems, Inc CurrentSince May 13, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 13, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 1, 2022 Accepting new patients
Dean Health Systems, Inc. CurrentSince May 13, 2025 Accepting new patients
Live Wellness Surgical, PLLC Surgery CurrentSince Sep 17, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 13, 2022 Accepting new patients
Dallas Medical Physician Group CurrentSince Feb 1, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Mar 1, 2021 Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

4333 N Josey Ln
Ste 101
Carrollton, TX 75010
Phone (972) 492-6300

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

8700 Stonebrook Pkwy
Unit 958
Frisco, TX 75034

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

5308 N Galloway Ave
Mesquite, TX 75150
Phone (972) 226-0505

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: kubesie289879@christushealth.direct-ci.net

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 2

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1205026333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 STONEBROOK PKWY UNIT 958",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345804",
            "telephone_number": "972-850-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104620",
            "telephone_number": "972-850-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBESIE",
        "first_name": "KANENECHUKWU",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "MD, MBA, FACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q6716",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "Q6716",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "Q6716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANENE",
            "last_name": "UBESIE",
            "middle_name": "V.",
            "credential": "MD, MBA, FACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.