Individual provider Active NPI

Keira Nicole Scanks, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1356540223
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10027881 Issued in TX
Practice address
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone
(214) 947-2306
Fax
(214) 947-2358
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10027881 TX Primary

Addresses

Primary practice location

1441 N Beckley Ave
Dallas, TX 75203-1201

Mailing address

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-2306

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
I20100820000434 TX Practitioner - Internal Medicine 3173657541 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

1 Medical Plaza
Pampa, TX 79065-2819
Phone (806) 665-3721

Hospital & facility affiliations

  • Pampa Regional Medical Center Hospital, Pampa, TX, CCN 451398
  • Pampa Regional Medical Center Nursing home, CCN 45Z398

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10027881TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jun 1, 2018 Accepting new patients
KND Development 59 LLC CurrentSince Jun 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Hospital Care Consultants of Corpus Christi CurrentSince Jan 1, 2024 Accepting new patients
Ess of Port Lavaca LLC CurrentSince Apr 1, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Apr 1, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 1, 2022 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Grace Emergency Room, LLC Past Accepting new patients
General Internal Medicine, PA Internal Medicine Past Accepting new patients
Prime Healthcare Services Pampa LLC Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

1550 First Colony Blvd
Sugar Land, TX 77479
Phone (281) 275-6000

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

Organizations & group practices 12

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 2

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1356540223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-2306",
            "fax_number": "214-947-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-2306",
            "fax_number": "214-947-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANKS",
        "first_name": "KEIRA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10027881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.