NPIMap

Individual provider Active NPI

Kenneth S Dauber, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
National Provider Identifier
1659376770
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
K3896 Issued in TX
Practice address
5228 W Plano Pkwy
Plano, TX 75093-5005
Phone
(972) 250-5700
Fax
(972) 250-5747
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X K3896 TX Primary

Addresses

Primary practice location

5228 W Plano Pkwy
Plano, TX 75093-5005

Mailing address

5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700

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
I20111003000531 TX Practitioner - Physical Medicine and Rehabilitation 1052218484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of Ny Upstate Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Star Orthopedic Institute LLCGroup PAC ID 7618392424, 22 clinicians

Practice addresses (Care Compare)

5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
44.95 of 100Reported as individual
Quality
24.92
Promoting interoperability
0
Improvement activities
40
Cost
74.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3896TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Star Orthopedic Institute, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

5228 W Plano Pkwy
Plano, TX 75093
Phone (972) 250-5655

Interoperability endpoints

  • Direct secure messaging: kdauber@plano.exscribedirect.com
  • Direct secure messaging: kenneth.dauber.1@31411.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1659376770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935005",
            "telephone_number": "972-250-5700",
            "fax_number": "972-250-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935005",
            "telephone_number": "972-250-5700",
            "fax_number": "972-250-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUBER",
        "first_name": "KENNETH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K3896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.