NPIMap

Individual provider Active NPI

Ephraim Timothy Keng, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1457313892
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8776 Issued in TX
Practice address
9 Medical Pkwy
Ste 308
Dallas, TX 75234-7855
Phone
(972) 888-7240
Fax
(972) 888-7285
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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 K8776 TX Primary

Addresses

Primary practice location

9 Medical Pkwy
Ste 308
Dallas, TX 75234-7855

Mailing address

9 Medical Pkwy
Ste 308
Dallas, TX 75234-7855
Phone (972) 888-7240

Other identifiers 2

IdentifierTypeStateIssuer
043101701MedicaidTX
043101702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080902000405 TX Practitioner - Internal Medicine 8628070836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Internists of North Texas, PLLCGroup PAC ID 9739331091, 10 clinicians

Practice addresses (Care Compare)

4325 N Josey LN
Suite 202
Carrollton, TX 75010-4637
Phone (214) 566-9616

Hospital & facility affiliations

  • Dallas Medical Center Hospital, Dallas, TX, CCN 450379
  • The Highlands Guest Care Center Nursing home, Dallas, TX, CCN 675447
  • Treemont Healthcare and Rehabilitation Center Nursing home, Dallas, TX, CCN 455823

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Internists of North Texas, PLLC Internal Medicine CurrentSince Dec 9, 2012 Accepting new patients
Premier Hospitalists of North Texas, PLLC Internal Medicine CurrentSince Jul 24, 2020 Accepting new patients
Premier Physicians of North Texas, PLLC CurrentSince Oct 1, 2019 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Dallas Medical Center LLC Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Nocona Hospital District Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients

Locations

4325 N Josey Ln
Ste 202
Carrollton, TX 75010
Phone (214) 566-9616

2761 E Trinity Mills Rd
Ste 100
Carrollton, TX 75006
Phone (972) 478-7300

1 Medical Pkwy
Ste 103
Dallas, TX 75234
Phone (972) 488-9656

3427 Trinity Mills Rd
Ste 800
Dallas, TX 75287
Phone (214) 566-9616

9 Medical Pkwy
Ste 308
Farmers Brnch, TX 75234
Phone (214) 702-2790

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Interoperability endpoints

  • Direct secure messaging: dmcekeng@yourcarecommunity.org

Organizations & group practices 8

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 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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1457313892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "STE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347855",
            "telephone_number": "972-888-7240",
            "fax_number": "972-888-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "STE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347855",
            "telephone_number": "972-888-7240",
            "fax_number": "972-888-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENG",
        "first_name": "EPHRAIM",
        "middle_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043101701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043101702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.