Individual provider Active NPI

Paul Richard Kenworthy, MD

  • Urology Physician
  • Huntsville, TX
National Provider Identifier
1295795698
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K0087 Issued in TX
Practice address
100 Medical Center Pkwy Ste 600
Huntsville, TX 77340-4965
Phone
(936) 435-9200
Fax
(936) 435-9262
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K0087 TX Primary

Addresses

Primary practice location

100 Medical Center Pkwy Ste 600
Huntsville, TX 77340-4965

Mailing address

2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone (281) 440-5300

Other practice location 1

135 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (281) 404-3000

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
I20101217000741 TX Practitioner - Urology 8022043645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Pkwy
Suite 600
Huntsville, TX 77340-4965
Phone (281) 440-5300

135 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (281) 440-5300

22001 Northpark Dr
Suite 220
Kingwood, TX 77339-3811
Phone (281) 319-8303

22751 Professional Dr
Suite 140
Kingwood, TX 77339-6024
Phone (281) 440-5300

9303 Pinecroft Dr
The Woodlands, TX 77380-3180
Phone (281) 440-5300

Hospital & facility affiliations

  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David P Ellent PLLC CurrentSince Feb 10, 2025 Accepting new patients
Creekside Premier Medical Group PLLC CurrentSince May 1, 2025 Accepting new patients
David P Ellent PLLC CurrentSince Feb 10, 2025 Accepting new patients
Northwoods Urology Association Past Accepting new patients
Northwoods Urology Association Past Accepting new patients

Locations

100 Medical Center Pkwy
Ste 600
Huntsville, TX 77340
Phone (281) 404-3000

1710 W Lake Houston Pkwy
Ste 260B
Kingwood, TX 77339
Phone (346) 522-2550

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

350 Kingwood Medical Dr
Ste 140
Kingwood, TX 77339
Phone (281) 359-1911

135 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 404-3000

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
Phone (832) 232-5658

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

Interoperability endpoints

  • Direct secure messaging: paul.kenworthy.1@19704.direct.athenahealth.com
  • Direct secure messaging: hmhpkenwo@yourcarecommunity.org

Organizations & group practices 6

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 11

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1295795698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891813",
            "telephone_number": "281-440-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PKWY STE 600",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404965",
            "telephone_number": "936-435-9200",
            "fax_number": "936-435-9262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Vision Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843001",
            "country_code": "US",
            "telephone_number": "281-404-3000",
            "fax_number": "936-273-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENWORTHY",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K0087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.