Active NPI
Kelsey R Dombrowski, DO
- Internal Medicine Physician
- Grand Prairie, TX
National Provider Identifier
1306532221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 829235
- Practice address
- 5203 Lake Ridge Pkwy
Grand Prairie, TX 75052-3010 - Phone
- (817) 633-9590
- NPI assigned
- Apr 13, 2023
- Last updated
- Jun 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 829235 | TX | Primary |
Addresses
Primary practice location
5203 Lake Ridge Pkwy
Grand Prairie, TX 75052-3010
Mailing address
5203 Lake Ridge Pkwy
Grand Prairie, TX 75052-3010
Other practice location 1
188 Hospital Dr Ste 402
Fairhope, AL 36532-2018
Phone (251) 279-1245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 829235 | TX | MD | Internal Medicine Physician |
Interoperability endpoints
- kdombrowski123237@directinfirmaryhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1306532221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5203 LAKE RIDGE PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5203 LAKE RIDGE PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523010",
"telephone_number": "817-633-9590"
}
],
"practiceLocations": [
{
"address_1": "188 Hospital Dr Ste 402",
"address_purpose": "LOCATION",
"city": "Fairhope",
"state": "AL",
"postal_code": "365322018",
"country_code": "US",
"telephone_number": "251-279-1245",
"fax_number": "251-279-1247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "KELSEY",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "829235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.