Rickey Dale Kinzey, D.O.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

02000860C Issued in IN

Practice address

400 Mann St Ste 107
Corpus Christi, TX 78401-2046

Phone

(361) 533-9911

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN, TX2 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 2

Specialty

Family PracticeAlso: Addiction Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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 and National Provider Directory roles.

• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jeffersonville Integrative Clinic LLC

  • Family Medicine Physician
  • Jeffersonville, IN
  • NPI 1861219644

  Single Specialty

  Medicare reassignment NPD Authorized official
• Corpus Christi Integrative Clinic LLC

  • Infusion Therapy Clinic/Center
  • Corpus Christi, TX
  • NPI 1336857796

  Single Specialty

  Medicare reassignment NPD
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610

  Single Specialty

  Medicare reassignment NPD
• Viverant Integrative Clinic LLC

  • Family Medicine Physician
  • Jeffersonville, IN
  • NPI 1255943767
  Medicare reassignment
• One Anesthesia PLLC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1174513246

  Single Specialty

  NPD
• Baxter County Regional Hospital, Inc

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1316777329

  Single Specialty

  NPD (past)
• Pain Management Center of Southern Indiana

  • Pain Medicine Physician
  • New Albany, IN
  • NPI 1720222862

  Anesthesiology

  NPD (past)
• Pain Management Center of Southern Indiana, Inc.

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
  • NPI 1629063797

  Single Specialty

  NPD (past)
• Southern Indiana Anesthesiology

  • Anesthesiology Physician
  • Bloomington, IN
  • NPI 1548255615

  Single Specialty

  NPD (past)
• West Coast Anesthesia PLLC

  • Anesthesiology Physician
  • Muskegon, MI
  • NPI 1780603944

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Healthcare Group, LTD.

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1801881016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST STE 101",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119535",
            "telephone_number": "812-503-5100",
            "fax_number": "770-573-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MANN ST STE 107",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012046",
            "telephone_number": "361-533-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306016",
            "country_code": "US",
            "telephone_number": "812-288-2488",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Short St",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "IN",
            "postal_code": "471111241",
            "country_code": "US",
            "telephone_number": "812-503-5100",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Spring St Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303498",
            "country_code": "US",
            "telephone_number": "812-725-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Spring St Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303385",
            "country_code": "US",
            "telephone_number": "812-620-9846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINZEY",
        "first_name": "RICKEY",
        "middle_name": "DALE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "02000860A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000860A",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": "T1985",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TX",
            "license": "T1985",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "02000860C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446040",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434219808",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RKP ANTHEM",
            "identifier": "000000368845",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RKA ANTHEM",
            "identifier": "000000368855",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingsville Home Rehab Services
• Rayman Kinman, MS, LPC
• Donald R Kinner, MA LPC LMFT
• Melissa Leean Kinney
• Macy Mae Kinzel, PH.D.
• Elizabeth R Kiolbassa, PHARMD
• Rebecca Morales Kireta, SLP
• John Marcus Kirk, M.D.
• Charles R Kirkham, MD
• Kathryn Lee Kirkland, M.D.

• Addiction Medicine (Family Medicine) Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Addiction Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.