Individual provider Active NPI

Wesley W Kinney, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1811965924
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E8631 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Mar 14, 2006
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 15117 NE
Anesthesiology Physician 207L00000X E8631 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

1202 Tara Heights Dr
Norfolk, NE 68701-3050
Phone (402) 844-3654

Other practice location 1

3400 W Norfolk Ave
Norfolk, NE 68701-7701
Phone (402) 844-3654

Other identifiers 1

IdentifierTypeStateIssuer
10024970800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MT, TN, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120209000050 NE Practitioner - Anesthesiology 9234152927 Reassigns benefits to 1 organization
I20161003001172 MT Practitioner - Anesthesiology 9234152927
I20211207000244 TN Practitioner - Anesthesiology 9234152927 Reassigns benefits to 1 organization
I20220713002443 TX Practitioner - Anesthesiology 9234152927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians
El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Practice addresses (Care Compare)

1755 Curie Dr
El Paso, TX 79902-2919
Phone (915) 747-1300

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467

3315 S Alameda St
Corpus Christi, TX 78411-1820
Phone (214) 687-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8631TXMDAnesthesiology Physician
15117NEMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Ams, PLLC Anesthesiology CurrentSince Oct 12, 2024 Accepting new patients
North Platte Surgery Center LLC Current Accepting new patients
Texas Ams PLLC Anesthesiology CurrentSince Oct 3, 2024 Accepting new patients
Resource Anesthesiology Associates of TN PC Anesthesiology CurrentSince Feb 9, 2024 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
South Texas Anesthesia Group PLLC Anesthesiology CurrentSince May 11, 2022 Accepting new patients
North Platte Surgery Center Anesthesia, LLC Anesthesiology CurrentSince Jun 17, 2024 Accepting new patients

Locations

621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1755 Curie Dr
El Paso, TX 79902
Phone (915) 225-7600

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

502 Madison Oak Dr
Ste 500
San Antonio, TX 78258
Phone (210) 499-6700

Organizations & group practices 7

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1811965924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TARA HEIGHTS DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013050",
            "telephone_number": "402-844-3654",
            "fax_number": "308-382-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W Norfolk Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687017701",
            "country_code": "US",
            "telephone_number": "402-844-3654",
            "fax_number": "308-382-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "WESLEY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NE",
            "license": "15117",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "E8631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024970800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.