Keith Elliott Dyer, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

K5914 Issued in TX

Practice address

7200 W 9TH Ave
Amarillo, TX 79106-1703

Phone

(806) 416-1041

Fax

(806) 418-4329

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Physical Medicine and Rehabilitation

Education

University of Texas Medical Branch at Galveston, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Procare Wound and Wellness PLLCGroup PAC ID 2860969250, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Regen RX PLLC

  • Physical Medicine & Rehabilitation Physician
  • Amarillo, TX
  • NPI 1053134338
  Medicare reassignment NPD Authorized official
• Regenerative Medicine Center of Texas, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Amarillo, TX
  • NPI 1467888420
  Medicare reassignment Authorized official
• Procare Wound and Wellness PLLC

  • Family Nurse Practitioner
  • Vidor, TX
  • NPI 1518818657
  Care Compare group

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1366456394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51199",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791591199",
            "telephone_number": "806-416-1041",
            "fax_number": "806-418-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061703",
            "telephone_number": "806-416-1041",
            "fax_number": "806-418-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "KEITH",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K5914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE PROV NUMBER",
            "identifier": "112061103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL NUMBER",
            "identifier": "8G3990",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHWEST LIFE INSURANCE",
            "identifier": "112061103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP NUMBER",
            "identifier": "0052HZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna B Duvall, MSSLP-CCC
• Noor Ghassan Dweik, MD
• John Nelson Dwyer, DDS
• Keri S Dwyer, PA
• Tammy Diane Dye, OTA
• Scott Michael Dyer, P.T.
• John P Dzik, DO
• Allie Rose Eagle, LMFT, LCDC
• Earl C. Smith, M.D. P.a.
• Jason A Earthman, PHARMD

• Physical Medicine & Rehabilitation Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.