Individual provider Active NPI

Damien W Kinzler, DO

  • Emergency Medicine Physician
  • Longview, TX
National Provider Identifier
1265638035
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
340375 Issued in LA
Practice address
2901 4TH St
Longview, TX 75605-5128
Phone
(903) 758-1818
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT012268 PA
Emergency Medicine Physician 207P00000X DO3481 NV
Emergency Medicine Physician 207P00000X N9580 TX
Emergency Medicine Physician 207P00000X DO212431 OR
Emergency Medicine Physician 207P00000X 340375 LA Primary

Addresses

Primary practice location

2901 4TH St
Longview, TX 75605-5128

Mailing address

26500 Agoura Road
Ste 102-261
Austin, CA 78703-5460
Phone (817) 291-1499

Other practice location 1

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Other identifiers 3

IdentifierTypeStateIssuer
285049702MedicaidTX
285049703MedicaidTX
P01059772OtherTXRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkinzler268501@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, WA, CA, OR, WV, NV7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20110919000253 TX Practitioner - Emergency Medicine 4486841285 Reassigns benefits to 3 organizations
I20130216000045 MO Practitioner - Emergency Medicine 4486841285 Reassigns benefits to 1 organization
I20180621001318 WA Practitioner - Emergency Medicine 4486841285 Reassigns benefits to 2 organizations
I20211020001457 CA Practitioner - Emergency Medicine 4486841285 Reassigns benefits to 5 organizations
I20230523001917 OR Practitioner - Emergency Medicine 4486841285 Reassigns benefits to 1 organization
I20240307004018 WV Practitioner - Emergency Medicine 4486841285 Reassigns benefits to 2 organizations
I20240326004352 NV Practitioner - Emergency Medicine 4486841285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians

Practice addresses (Care Compare)

1046 6TH Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 530-2100

1600 E Broadway
Boone Hospital Center
Columbia, MO 65201-5844
Phone (573) 875-4545

Hospital & facility affiliations

  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • St Elizabeth Hospital Hospital, Enumclaw, WA, CCN 501335

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012268PAMDEmergency Medicine Physician
5158OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Feb 21, 2024 Accepting new patients
Northwest Observation Associates PC CurrentSince May 15, 2019 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Feb 21, 2024 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Aug 1, 2011 Accepting new patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Feb 7, 2025 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Apr 22, 2024 Accepting new patients
Clinic Services of California Medical Group Inc Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Apr 1, 2026 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Jun 15, 2018 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients

Locations (25 of 39)

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

2620 Ridgewood Rd
Ste 300
Akron, OH 44313

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

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

3003 Bee Caves Rd
Austin, TX 78746
Phone (512) 314-3800

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1265638035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AGOURA ROAD",
            "address_2": "STE 102-261",
            "city": "AUSTIN",
            "state": "CA",
            "postal_code": "787035460",
            "telephone_number": "817-291-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055128",
            "telephone_number": "903-758-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINZLER",
        "first_name": "DAMIEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT012268",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO3481",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9580",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO212431",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "340375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285049702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285049703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01059772",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkinzler268501@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.