Individual provider Active NPI

Kenny Newgene, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1376861906
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q2690 Issued in TX
Practice address
8609 Southwestern Blvd Apt 623
Dallas, TX 75206-8237
Phone
(318) 655-3328
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.41383 AL
Hospitalist Physician 208M00000X 28982 OK
Internal Medicine Physician 207R00000X Q2690 TX Primary

Addresses

Primary practice location

8609 Southwestern Blvd Apt 623
Dallas, TX 75206-8237

Mailing address

8609 Southwestern Blvd
623
Dallas, TX 75206-2675
Phone (318) 655-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, AL, WY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130328000067 OK Practitioner - Internal Medicine 6406091230 Reassigns benefits to 1 organization
I20140228001191 TX Practitioner - Internal Medicine 6406091230 Reassigns benefits to 6 organizations
I20200908003514 AL Practitioner - Internal Medicine 6406091230
I20210329001555 WY Practitioner - Internal Medicine 6406091230 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.41383ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sash Healthcare Services Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Southwestern Surgical Affiliates, LLC CurrentSince Sep 21, 2020 Accepting new patients
Sound Physicians of Wyoming, LLC Family Medicine CurrentSince Feb 11, 2021 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Aug 19, 2019 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Aug 19, 2019 Accepting new patients
New Gen of Healthcare PLLC CurrentSince Feb 1, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince May 4, 2015 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince May 4, 2015 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Dec 3, 2013 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Nov 28, 2020 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Paradigm Neurodiagnostics LLC Internal Medicine PastSince May 11, 2019 Accepting new patients
Siloam Springs Internal Medicine Clinic, PLLC Internal Medicine PastSince Oct 24, 2014 Accepting new patients
DRH Medical Group Past Accepting new patients
Midwest Hospital Medicine Associates PC Hospitalist Past Accepting new patients

Locations

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

3600 Gaston Ave
Ste 558
Dallas, TX 75246

5930 Royal Ln
Ste E119
Dallas, TX 75230
Phone (469) 215-5363

8220 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 238-3074

8050 Meadow Rd
Dallas, TX 75231
Phone (214) 396-5260

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

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

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

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1964/brand/1/csg/25/fhir/r4
  • Direct secure messaging: kenny.newgene.1@30520.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1376861906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 SOUTHWESTERN BLVD",
            "address_2": "623",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752062675",
            "telephone_number": "318-655-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SOUTHWESTERN BLVD APT 623",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068237",
            "telephone_number": "318-655-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWGENE",
        "first_name": "KENNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.41383",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "28982",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.