Karen Cervenka Kemper, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G3513 Issued in TX

Practice address

2201 Macarthur Dr
Suite 103
Waco, TX 76708-3161

Phone

(254) 202-6100

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Karen Cervenka Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hillcrest Family Health Center

  • Family Medicine Physician
  • Waco, TX
  • NPI 1891796694

  Pediatrics, TX

  Medicare reassignment NPD
• Abilene Children'S Medical Association, LLP

  • Pediatrics Physician
  • Abilene, TX
  • NPI 1184680696

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1689645236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5338",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767080338",
            "telephone_number": "254-202-4630",
            "fax_number": "254-741-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MACARTHUR DR",
            "address_2": "SUITE 103",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083161",
            "telephone_number": "254-202-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "KAREN",
        "middle_name": "CERVENKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G3513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A8892",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133476507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CERVENKA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mendy Kelly, LCSW
• Samuel Kelly
• Shannon Marie Kelly, SLP
• Dustin Dwain Kelm, PT, DPT
• Carol Ann Kemp, LCSW
• Annika Kempf, MD
• Zachry Thomas Kempf, DO
• Cassie E Kendrick, PSYD
• Matthew Locke Kendrick, M.D.
• Brooke Ellyn Keneipp

• All providers in Waco, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.