Individual provider Active NPI

Kenneth Bryon Dekay III, M.D.

  • Emergency Medicine Physician
  • Fort Hood, TX
National Provider Identifier
1770675159
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M9961 Issued in TX
Practice address
36000 Darnall Loop
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544-1028
Phone
(254) 288-8303
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M9961 TX Primary
Emergency Medicine Physician 207P00000X 0101240653 VA

Addresses

Primary practice location

36000 Darnall Loop
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544-1028

Mailing address

36000 Darnall Loop
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544-1028
Phone (254) 288-8303

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000706 TX Practitioner - Emergency Medicine 8123193851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level One Urgent Care LLCGroup PAC ID 0648654558, 2 clinicians

Practice addresses (Care Compare)

3331 Meridiana Pkwy
Suite 200
Rosharon, TX 77583-4477
Phone (281) 947-6160

Hospital & facility affiliations

  • Harbor Hospice 27 LP Hospice, Tyler, TX, CCN 741565
  • Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240653VAMDEmergency Medicine Physician
TEMPORARYTXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Navarro Emergency Physicians PLLC Emergency Medicine CurrentSince Jan 21, 2018 Accepting new patients
Level One Urgent Care LLC CurrentSince Jul 12, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Heart of Texas Emergency Physicans Emergency Medicine Past Accepting new patients
Pottawatomie Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Third Coast Emergency Physicians Sid Peterson PA Emergency Medicine Past Accepting new patients

Locations

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

2900 S Loop 256
#M
Palestine, TX 75801
Phone (903) 731-1147

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

3331 Meridiana Pkwy
Rosharon, TX 77583
Phone (281) 947-6160

3331 Meridiana Pkwy
Ste 200
Rosharon, TX 77583
Phone (281) 947-6160

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 6

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1770675159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765441028",
            "telephone_number": "254-288-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765441028",
            "telephone_number": "254-288-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKAY",
        "first_name": "KENNETH",
        "middle_name": "BRYON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M9961",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101240653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.