Individual provider Active NPI

Warrett Kennard, MD

  • Surgery Physician
  • Plano, TX
National Provider Identifier
1760433395
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H9658 Issued in TX
Practice address
5300 W Plano Pkwy
Ste 300
Plano, TX 75093-4863
Phone
(972) 248-2426
Fax
(972) 248-2449
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H9658 TX Primary

Addresses

Primary practice location

5300 W Plano Pkwy
Ste 300
Plano, TX 75093-4863

Mailing address

5300 W Plano Pkwy
Ste 300
Plano, TX 75093-4863
Phone (972) 248-2426

Other identifiers 1

IdentifierTypeStateIssuer
098743002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061026000617 TX Practitioner - General SurgeryPractitioner - Vascular Surgery 0648177063 Reassigns benefits to 1 organization
I20230517003137 UT Practitioner - General Surgery 0648177063 Reassigns benefits to 1 organization
I20240531002056 OK Practitioner - General Surgery 0648177063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrix Medical Group IncGroup PAC ID 2567634587, 5 clinicians

Practice addresses (Care Compare)

5300 W Plano Pkwy
Suite 300
Plano, TX 75093-4862
Phone (972) 248-2426

750 W 800
Orem, UT 84057-3660
Phone 80024338397746

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853
  • Timpanogos Regional Hospital Hospital, Orem, UT, CCN 460052

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Mercy Hospital Ardmore, Inc. CurrentSince May 14, 2024 Accepting new patients
Mercy Hospital Ardmore, Inc CurrentSince May 14, 2024 Accepting new patients
Warrett Kennard, M.D., P.a. CurrentSince Aug 2, 1993 Accepting new patients

Locations

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

5300 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 248-2426

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAJEAA/Endpoint/FAJEAA
  • Direct secure messaging: warrett.kennardmd.p107@direct.mednax.nextgenshare.com

Organizations & group practices 5

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 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1760433395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934863",
            "telephone_number": "972-248-2426",
            "fax_number": "972-248-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934863",
            "telephone_number": "972-248-2426",
            "fax_number": "972-248-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "WARRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H9658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098743002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.