Individual provider Active NPI

Kathleen Grove Underwood

  • Surgical Physician Assistant
  • Celina, TX
National Provider Identifier
1811754633
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA17792 Issued in TX
Practice address
512 W Maple St
Celina, TX 75009-6122
Phone
(214) 385-1765
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA17792 TX Primary
Physician Assistant 363A00000X PA17792 TX

Addresses

Primary practice location

512 W Maple St
Celina, TX 75009-6122

Mailing address

515 W Mayfield Rd Ste 301
Arlington, TX 76014-2085

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523004068 TX Practitioner - Physician Assistant 9830531680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

341 Wheatfield Dr
Sunnyvale, TX 75182-4639

8200 Walnut Hill LN
Dallas, TX 75231-4426
Phone (214) 345-8441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Oct 1, 2025 Accepting new patients
Surgery Associates of North Texas P a Current Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2025 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

8230 Walnut Hill Ln
Ste 320
Dallas, TX 75231
Phone (214) 265-9991

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: kgroveunderwood2681971@direct.texashealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1811754633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD STE 301",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W MAPLE ST",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750096122",
            "telephone_number": "214-385-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE UNDERWOOD",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA17792",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TX

Sources for this page

Verify at the official NPI Registry.