Individual provider Active NPI

Steven Michael Kent

  • Pediatrics Physician
  • Shenandoah, TX
National Provider Identifier
1780004663
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R4410 Issued in TX
Practice address
920 Medical Plaza Dr Ste 460
Shenandoah, TX 77380-3259
Phone
(832) 616-4360
NPI assigned
Apr 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R4410 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr Ste 460
Shenandoah, TX 77380-3259

Mailing address

920 Medical Plaza Dr Ste 460
Shenandoah, TX 77380-3259
Phone (832) 616-4360

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
I20180223000116 TX Practitioner - Pediatric Medicine 8426319062 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4410TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Nov 21, 2017 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics CurrentSince Nov 1, 2022 Accepting new patients
Ut Physicians Pediatrics CurrentSince Nov 21, 2017 Accepting new patients
Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

3500 Gaston Ave
Dallas, TX 75246

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
Ste Msb
Houston, TX 77030
Phone (713) 500-5800

7400 Fannin St
Ste 770
Houston, TX 77054
Phone (713) 463-5668

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

920 Medical Plaza Dr
Ste 460
Shenandoah, TX 77380
Phone (713) 897-7005

9180 Pinecroft Dr
Ste 310
Shenandoah, TX 77380
Phone (281) 367-6836

Interoperability endpoints

  • Direct secure messaging: steven.kentmd.p76@direct.mednax.nextgenshare.com
  • Direct secure messaging: steven.kentmd.p104@direct.mednax.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1780004663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 460",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803259",
            "telephone_number": "832-616-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 460",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803259",
            "telephone_number": "832-616-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R4410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.