Active NPI
Kevin W Niblett, M.D.
- Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- J3706
- Practice address
- 3430 W Wheatland Rd Pob I Ste 119
Dallas, TX 75237-3447 - Phone
- (972) 283-2244
- Fax
- (972) 283-2246
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J3706 | TX | Primary |
Addresses
Primary practice location
3430 W Wheatland Rd Pob I Ste 119
Dallas, TX 75237-3447
Mailing address
3430 W Wheatland Rd
Pob I Suite 119
Dallas, TX 75237-3446
Phone (972) 283-2244
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624
3430 W Wheatland Rd
Dallas, TX 75237-3447
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (972) 298-4300
Hospital & facility affiliations
- Methodist Charlton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3706 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Southwest Vascular and Surgical Group | Surgery | Past | Accepting new patients |
Locations
221 W Colorado Blvd
Ste 625
Dallas, TX 75208
Phone (214) 943-8605
3430 W Wheatland Rd
Ste 119
Dallas, TX 75237
Phone (972) 296-5252
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
3450 W Wheatland Rd
Ste 245
Dallas, TX 75237
Phone (214) 943-1171
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
Interoperability endpoints
- kniblett13623@dm.mhd.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Surgery Physician
- Dallas, TX
- NPI 1639236425
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1770525602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 W WHEATLAND RD",
"address_2": "POB I SUITE 119",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373446",
"telephone_number": "972-283-2244",
"fax_number": "972-283-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 W WHEATLAND RD POB I STE 119",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373447",
"telephone_number": "972-283-2244",
"fax_number": "972-283-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIBLETT",
"first_name": "KEVIN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "J3706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.