Individual provider Active NPI

Kevin J Pauza, MD

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1700978764
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J7127 Issued in TX
Practice address
2911 Turtle Creek Blvd Ste 925
Dallas, TX 75219-6292
Phone
(903) 593-2222
Fax
(903) 593-0142
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 J7127 TX Primary

Addresses

Primary practice location

2911 Turtle Creek Blvd Ste 925
Dallas, TX 75219-6292

Mailing address

2911 Turtle Creek Blvd Ste 925
Dallas, TX 75219-6292
Phone (903) 593-2222

Other identifiers 1

IdentifierTypeStateIssuer
099602703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 18, 2020 through Dec 18, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000TXMDDiagnostic Radiology Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCIBBD/Endpoint/CCIBBD

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1700978764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TURTLE CREEK BLVD STE 925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752196292",
            "telephone_number": "903-593-2222",
            "fax_number": "903-593-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TURTLE CREEK BLVD STE 925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752196292",
            "telephone_number": "903-593-2222",
            "fax_number": "903-593-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUZA",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J7127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099602703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.