Individual provider Active NPI

Kevin Allen, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1265407092
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H3295 Issued in TX
Practice address
Ut Southwestern Medical Center 5323 Harry Hines Blvd
Dallas, TX 75390
Phone
(214) 648-8423
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H3295 TX Primary

Addresses

Primary practice location

Ut Southwestern Medical Center 5323 Harry Hines Blvd
Dallas, TX 75390

Mailing address

5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-0001
Phone (214) 648-3916

Other practice location 1

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 685-4619

Other practice location 2

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 685-4619

Other identifiers 3

IdentifierTypeStateIssuer
P00026292OtherTXRAILROAD MEDICARE
8G7451OtherTXBCBS
137506512MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 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
I20050701000139 TX Practitioner - Emergency Medicine 6709822570 Reassigns benefits to 3 organizations
I20051201000497 MA Practitioner - Emergency Medicine 6709822570 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgi Center Medical GroupGroup PAC ID 3476790601, 83 clinicians

Practice addresses (Care Compare)

1220 Iyannough Rd
Hyannis, MA 02601-1873
Phone (508) 862-7900

273 Teaticket Hwy
Teaticket, MA 02536-5638
Phone (508) 495-8000

42 RT
6A
Orleans, MA 02653-2412
Phone (508) 957-9270

525 Long Pond Dr
Harwich, MA 02645-1227
Phone (508) 430-3330

770 Main St
Osterville, MA 02655-1913
Phone (508) 957-9290

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

Merit-based Incentive Payment System (MIPS)

Final score
82.11 of 100Reported as group
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
79.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Sep 10, 2012 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Cape Cod Emergency Associates LLP Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 1, 2019 Accepting new patients
Emergency Physicians of Falmouth Emergency Medicine CurrentSince Nov 14, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Urgi Center Medical Group CurrentSince May 1, 2014 Accepting new patients
Heb Emergicare PA Emergency Medicine Past Accepting new patients
Amarillo Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

2 Jan Sebastian Dr
Ste 101
Sandwich, MA 02563
Phone (508) 833-2639

273 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 495-8000

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

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

10864 Texas Health Trl
#T
Fort Worth, TX 76244
Phone (682) 212-2000

10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 12

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 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1265407092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD STOP 7200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753900001",
            "telephone_number": "214-648-3916",
            "fax_number": "214-648-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75390",
            "telephone_number": "214-648-8423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226913",
            "country_code": "US",
            "telephone_number": "817-685-4619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226913",
            "country_code": "US",
            "telephone_number": "817-685-4619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H3295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00026292",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G7451",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137506512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.