Mark B Kipp, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

L1910 Issued in TX

Practice address

800 W Randol Mill Rd
Arlington, TX 76012-2504

Phone

(817) 548-6202

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Emergency Medicine

Education

Texas Tech University Health Science Center School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Dorado Urgent Care, PLLCGroup PAC ID 0547528887, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• El Dorado Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1154799328
  Medicare reassignment Care Compare group NPD
• Synergy Emergency Consultants, PLLC

  • General Practice Physician
  • Lewisville, TX
  • NPI 1215440508

  Emergency Medicine

  Medicare reassignment NPD
• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900
  Medicare reassignment NPD
• Woodbridge Physicians Staffing Group, PLLC

  • Emergency Care Clinic/Center
  • Frisco, TX
  • NPI 1750777322
  Medicare reassignment NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1235108895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SYCAMORE SCHOOL RD STE 150",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233053",
            "telephone_number": "682-707-9707",
            "fax_number": "682-707-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122504",
            "telephone_number": "817-548-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Sycamore School Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761233053",
            "country_code": "US",
            "telephone_number": "682-707-9707",
            "fax_number": "682-707-9708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 Sycamore School Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761233053",
            "country_code": "US",
            "telephone_number": "682-707-9707",
            "fax_number": "682-707-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPP",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L1910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS THRU AEMA",
            "identifier": "8B7646",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS THRU SAEMA",
            "identifier": "8BT323",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU SAEMA",
            "identifier": "P00869641",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147460303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147460302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD THRU AEMA",
            "identifier": "P00148167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingsgate Medical Supply, LLC
• Rachel Foster Kingston, PT, DPT
• Jessica Kinney
• Rhonda Kinney, MA
• Diana Kipchilat
• Kirby Joe Robinson of Texas, DDS, P.C.
• Karen M Kirk, MD
• Duane E Kirkdoffer, D.O.
• Hailey Pauline Kirkpatrick
• Katy Kirkpatrick

• Emergency Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.