Active NPI
Daniel Kocurek, MD
- Emergency Medicine Physician
- Arlington, TX
National Provider Identifier
1528037702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- K1855
- Practice address
- 800 W Randol Mill Rd
Arlington, TX 76012-2504 - Phone
- (817) 548-6202
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | K1855 | TX | Primary |
Addresses
Primary practice location
800 W Randol Mill Rd
Arlington, TX 76012-2504
Mailing address
P O Box 960160
Oklahoma City, OK 73196-0001
Phone (877) 485-4474
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88633Z | Other | TX | BCBS THRU AEMA |
| 149306601 | Medicaid | TX | |
| 149306602 | Medicaid | TX | |
| 8BT324 | Other | TX | BCBS THRU SAEMA |
| 010061511 | Other | TX | RAILROAD THRU AEMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9282 | TX | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1528037702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 960160",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731960001",
"telephone_number": "877-485-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122504",
"telephone_number": "817-548-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCUREK",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K1855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS THRU AEMA",
"identifier": "88633Z",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149306601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149306602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS THRU SAEMA",
"identifier": "8BT324",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD THRU AEMA",
"identifier": "010061511",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.