Individual provider Active NPI

Dale Robert Klepzig, M.D.

  • Surgery Physician
  • Mount Pleasant, TX
National Provider Identifier
1396935631
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N7935 Issued in TX
Practice address
2001 N Jefferson Ave
Suite 120
Mt Pleasant, TX 75455-2338
Phone
(903) 572-8741
Fax
(903) 577-0640
NPI assigned
Aug 1, 2007
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0116016615 TX
Surgery Physician 208600000X N7935 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave
Suite 120
Mt Pleasant, TX 75455-2338

Mailing address

2001 N Jefferson Ave
Suite 120
Mt Pleasant, TX 75455-2338
Phone (903) 577-8721

Other identifiers 1

IdentifierTypeStateIssuer
2124422-04MedicaidTX

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
I20100618000061 TX Practitioner - General Surgery 8729118708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 N Jefferson
Suite 120
Mt. Pleasant, TX 75455-2338
Phone (903) 572-8741

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116016615TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dale R Klepzig MD PLLC Surgery CurrentSince Nov 1, 2014 Accepting new patients

Locations

2001 N Jefferson Ave
Ste 120
Mt Pleasant, TX 75455
Phone (903) 466-5834

Interoperability endpoints

  • Direct secure messaging: dale.klepzig.1@9733.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9733/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1396935631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 120",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-8721",
            "fax_number": "903-577-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 120",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-572-8741",
            "fax_number": "903-577-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPZIG",
        "first_name": "DALE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "0116016615",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N7935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2124422-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.