Organization Active NPI

Kevin Vo MD PLLC

  • Family Medicine Physician
  • Rowlett, TX
National Provider Identifier
1295189249
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P5246 Issued in TX
Legal business name
KEVIN VO MD PLLC
Practice address
8301 Lakeview Pkwy Ste 106
Rowlett, TX 75088-9319
Phone
(254) 717-9364
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Dr. Kevin Vo, M.DNPI 1063649846
Title
Medical Director
Phone
(469) 402-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X P5246 TX Primary
Medical Specialty Clinic/Center 261QM2500X P5246 TX

Addresses

Primary practice location

8301 Lakeview Pkwy Ste 106
Rowlett, TX 75088-9319

Mailing address

810 Ralph Hall Pkwy
110
Rockwall, TX 75032
Phone (469) 402-3434

Other names 1

  • Athena Family Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160812000590 TX Part B Supplier - Clinic/Group Practice 2163716259 Receives reassigned benefits from 1 practitioner
Practice locations: Rowlett, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2119873Athena Family Medicine8301 Lakeview Parkway, Suite 106, Rowlett, TX 75088Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

8301 Lakeview Pkwy
Ste 106
Rowlett, TX 75088
Phone (254) 717-9364

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13577/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1295189249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 RALPH HALL PKWY",
            "address_2": "110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "469-402-3434",
            "fax_number": "469-402-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 LAKEVIEW PKWY STE 106",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889319",
            "telephone_number": "254-717-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN VO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "469-402-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5246",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "P5246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHENA FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athena Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.