Individual provider Active NPI

James Edward Kent, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tyler, TX
National Provider Identifier
1689902918
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1927 Issued in TX
Practice address
6603 Oak Hill Blvd.
Tyler, TX 75703-3604
Phone
(903) 939-3668
Fax
(903) 939-0661
NPI assigned
Nov 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1927 TX Primary

Addresses

Primary practice location

6603 Oak Hill Blvd.
Tyler, TX 75703-3604

Mailing address

6603 Oak Hill Blvd.
Tyler, TX 75703-3604
Phone (903) 939-3668

Other identifiers 1

IdentifierTypeStateIssuer
8CV514OtherTXBCBS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728001069 TX Practitioner - Podiatry 9133252000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6603 Oak Hill Blvd
Tyler, TX 75703-0586
Phone (903) 939-3668

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as individual
Quality
80.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue109
Removal of nail tissue896
Removal or shaving of skin growth498
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1927TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Foot and Ankle Centers, PA Foot & Ankle Surgery CurrentSince Mar 30, 2011 Accepting new patients

Locations

6603 Oak Hill Blvd
Tyler, TX 75703
Phone (903) 939-3668

455 Rice Rd
Ste 112
Tyler, TX 75703
Phone (903) 415-5757

Interoperability endpoints

  • Direct secure messaging: jkent@etfaacp-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1689902918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 OAK HILL BLVD.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033604",
            "telephone_number": "903-939-3668",
            "fax_number": "903-939-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 OAK HILL BLVD.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033604",
            "telephone_number": "903-939-3668",
            "fax_number": "903-939-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CV514",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.