Kenneth A Averack, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

H6766 Issued in TX

Practice address

1017 S Peking St
McAllen, TX 78501-1138

Phone

(956) 618-4113

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

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

• McAllen Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • McAllen, TX
  • NPI 1336543636
  Medicare reassignment NPD
• Rio Valley Emergency Physician Associates PLLC

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1134827934
  Medicare reassignment NPD
• Cor Emergency Physicians

  • Emergency Medicine Physician
  • McAllen, TX
  • NPI 1609145051
  NPD (past)
• Renaissance Emergency Physicians,PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Edinburg, TX
  • NPI 1831131143
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851326763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S PEKING ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S PEKING ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011138",
            "telephone_number": "956-618-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERACK",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "H6766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Ike Austin, MD
• John R. Austin, M.D., F.A.C.S.
• Christian Darnell Avalos, M.D.
• Arturo Avelino
• Stephanie Alondra Avendano, OD
• Avid Primary Home Care LLC
• Anyssa Irene Avila, M.S.
• Carmen Avila, MT108134
• Luz Margarita Avila, M.S., CCC/SLP
• Ricardo Avila, DPT

• Emergency Medical Services (Emergency Medicine) Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.