Individual provider Active NPI

Kevin Donal John Murphy, MD MCH FRCS(PLAST.)

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1386975506
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
P2901 Issued in TX
Practice address
17218 Preston Rd Ste 2000
Dallas, TX 75252-4018
Phone
(877) 866-7123
NPI assigned
Jan 28, 2010
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X L3489 AL
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X L3489 AL
Surgery of the Hand (Surgery) Physician 2086S0105X P2901 TX
Plastic and Reconstructive Surgery Physician 2086S0122X P2901 TX Primary

Addresses

Primary practice location

17218 Preston Rd Ste 2000
Dallas, TX 75252-4018

Mailing address

PO Box 742712
Atlanta, GA 30374-2712
Phone (877) 866-7123

Other practice location 1

1920 Country Place Pkwy Ste 300
Pearland, TX 77584-2287
Phone (832) 736-8968

Other identifiers 1

IdentifierTypeStateIssuer
302436602MedicaidTX

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
I20120620000338 TX Practitioner - Plastic and Reconstructive Surgery 7911172325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3489ALMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of Texas, PLLC CurrentSince Oct 23, 2017 Accepting new patients
Utmb Faculty Group Practice CurrentSince Apr 18, 2012 Accepting new patients
Murphy Plastic Surgery PLLC Current Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

545 E John Carpenter Fwy
Ste 300
Irving, TX 75062
Phone (804) 306-0783

1920 Country Place Pkwy
Ste 300
Pearland, TX 77584
Phone (281) 393-9018

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1386975506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742712",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742712",
            "telephone_number": "877-866-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 PRESTON RD STE 2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524018",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Country Place Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775842287",
            "country_code": "US",
            "telephone_number": "832-736-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KEVIN",
        "middle_name": "DONAL JOHN",
        "name_prefix": "Dr.",
        "credential": "MD MCH FRCS(PLAST.)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "L3489",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "AL",
            "license": "L3489",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "P2901",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P2901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302436602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.