Individual provider Active NPI

Keith Ryan Eppich, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1619985629
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4365 Issued in TX
Practice address
8080 Independence Pkwy Ste 200
Plano, TX 75025-4002
Phone
(972) 596-9511
Fax
(972) 867-8163
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4365 TX Primary

Addresses

Primary practice location

8080 Independence Pkwy Ste 200
Plano, TX 75025-4002

Mailing address

5501 Independence Pkwy
#203
Plano, TX 75023
Phone (972) 596-9511

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
I20110811000040 TX Practitioner - Family Practice 8325217243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Practice addresses (Care Compare)

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

8080 Independence Pkwy
Suite 200
Plano, TX 75025-4002
Phone (972) 596-9511

Hospital & facility affiliations

  • Accentcare Home Health of McKinney Home health agency, McKinney, TX, CCN 679236
  • The Home Health Team Home health agency, Richardson, TX, CCN 747573
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4365TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physician Group - NTX, PLLC Family Medicine CurrentSince May 1, 2024 Accepting new patients
North Texas Village Health Partners, PA Family Medicine CurrentSince Sep 1, 2012 Accepting new patients

Locations

469 Westpark Way
Euless, TX 76040
Phone (817) 283-2888

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

8080 Independence Pkwy
Ste 200
Plano, TX 75025
Phone (972) 596-9511

5655 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 566-9600

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

5425 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

Interoperability endpoints

  • Direct secure messaging: keith.eppich.1@30724.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1619985629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 INDEPENDENCE PKWY",
            "address_2": "#203",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "972-596-9511",
            "fax_number": "972-867-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254002",
            "telephone_number": "972-596-9511",
            "fax_number": "972-867-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPICH",
        "first_name": "KEITH",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.