Individual provider Active NPI

Kanyinsola Akingbade

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1477321024
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
400 W Arbrook Blvd Ste 100
Arlington, TX 76014-3175
Phone
(817) 276-6850
Fax
(817) 861-4501
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

400 W Arbrook Blvd Ste 100
Arlington, TX 76014-3175

Mailing address

2323 N Central Expy
Richardson, TX 75080-2712

Other practice location 1

2323 N Central Expy
Richardson, TX 75080-2712
Phone (214) 453-4533

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625003190 TX Practitioner - Physician Assistant 3678085578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

400 W Arbrook Blvd
Suite 101
Arlington, TX 76014-3175
Phone (817) 801-1456

Hospital & facility affiliations

  • Classic Home Care Home health agency, Arlington, TX, CCN 747434
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jul 1, 2025 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 100
Arlington, TX 76014
Phone (817) 276-6850

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

Interoperability endpoints

  • Direct secure messaging: kakingbade2658728@direct.texashealth.org

Organizations & group practices 2

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 2

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1477321024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N CENTRAL EXPY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143175",
            "telephone_number": "817-276-6850",
            "fax_number": "817-861-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 N Central Expy",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750802712",
            "country_code": "US",
            "telephone_number": "214-453-4533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINGBADE",
        "first_name": "KANYINSOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.