Individual provider Active NPI

Russell Kuempel, M.D.

  • Ophthalmology Physician
  • Wichita Falls, TX
National Provider Identifier
1285612481
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F6844 Issued in TX
Practice address
501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302
Phone
(940) 766-3551
Fax
(940) 763-7845
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X F6844 TX Primary

Addresses

Primary practice location

501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302

Mailing address

501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302
Phone (940) 766-3551

Other identifiers 1

IdentifierTypeStateIssuer
1140360-03MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090123000191 TX Practitioner - Ophthalmology 6002993706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jenny M. Kisner OD LLCGroup PAC ID 6406996032, 3 clinicians
Clinics of North Texas LLPGroup PAC ID 8820993496, 33 clinicians

Practice addresses (Care Compare)

1508 Brook Ave
Wichita Falls, TX 76301-5604
Phone (940) 761-2317

501 Midwestern Pkwy E
Clin of N TX LLP Rad
Wichita Falls, TX 76302-2302
Phone (940) 766-3551

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
65.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F6844TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny M. Kisner OD LLC Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Clinics of North Texas LLP Current Accepting new patients

Locations

1508 Brook Ave
Wichita Falls, TX 76301
Phone (940) 761-2317

501 Midwestern Pkwy E
Wichita Falls, TX 76302
Phone (940) 766-3551

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1285612481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-3551",
            "fax_number": "940-763-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEMPEL",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F6844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140360-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.