Active NPI
Keren Seyum
- Family Medicine Physician
- Mesquite, TX
National Provider Identifier
1265129068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- W2782
- Practice address
- 1575 I 30
Mesquite, TX 75150-6905 - Phone
- (469) 800-2800
- NPI assigned
- Apr 20, 2023
- Last updated
- Jul 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | W2782 | TX | Primary |
Addresses
Primary practice location
1575 I 30
Mesquite, TX 75150-6905
Mailing address
1575 I 30
Mesquite, TX 75150-6905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- kseyum326501@direct.phhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1265129068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 I 30",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 I 30",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506905",
"telephone_number": "469-800-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYUM",
"first_name": "KEREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "W2782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.