Kourtney Ann Dwyer, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

S5365 Issued in TX

Practice address

2301 S FM 51 Ste 300
Decatur, TX 76234-3864

Phone

(940) 600-5799

Fax

(940) 600-5796

NPI assigned

May 31, 2016

Last updated

Jan 13, 2023By the provider in NPPES

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 1

Other names 1

• Kourtney Ann Applegate Former 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

Specialty

Ophthalmology

Education

Texas a & M University System, HSC, College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kad Ophthalmology PLLC

  • Ophthalmology Physician
  • Decatur, TX
  • NPI 1639884695
  Medicare reassignment NPD Authorized official
• WSK Eye Associates PA

  dba North Dallas Eye Associates

  • Ophthalmology Physician
  • Lewisville, TX
  • NPI 1124121587
  Medicare reassignment NPD

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1730537895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAKEPOINTE DR STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573661",
            "telephone_number": "972-436-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S FM 51 STE 300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343864",
            "telephone_number": "940-600-5799",
            "fax_number": "940-600-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Lakepointe Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750576443",
            "country_code": "US",
            "telephone_number": "972-436-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "KOURTNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S5365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING PERMIT",
            "identifier": "BP10057568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOURTNEY",
            "last_name": "APPLEGATE",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Tad W Billmire
• Bryan James Dulock, CRNA
• Eddie Ray Dunlap, CRNA
• Everett Shayne Dutton, PT
• Deena Dwyer, BSRT(T)
• E Medical Group of North Texas, Inc. (Angels Care Home Health)
• Meagan Edelen, CRNA
• Edward Henry Fries
• Nayer B El-Ashram, MD
• Dwayne Emmons, CRNA

• Ophthalmology Physician in Decatur, TX
• Providers in Decatur, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.