Active NPI
Kent H Zieser, DO
- Internal Medicine Physician
- McKinney, TX
National Provider Identifier
1881791978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L9973
- Practice address
- 4510 Medical Center Dr Ste 314
McKinney, TX 75069 - Phone
- (972) 439-5639
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A138506 | NM | |
| Internal Medicine Physician | 207R00000X | L9973 | TX | Primary |
Addresses
Primary practice location
4510 Medical Center Dr Ste 314
McKinney, TX 75069
Mailing address
4510 Medical Center Dr Ste 314
McKinney, TX 75069-6851
Phone (724) 395-6399
Other practice location 1
2821 E President George Bush Hwy
Suite103
Richardson, TX 75082-4266
Phone (972) 792-7300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169250103 | Medicaid | TX | |
| 1881791978 | Other | NPI | |
| P00406313 | Other | NM | RAILROAD MEDICARE PIN |
| 41572882 | Medicaid | NM | |
| 169250102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 23, 2016 through Aug 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9973 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Hospital Corporation | Internal Medicine | Past | Accepting new patients |
| Eastern New Mexico Physicians and Surgeons LLC | Past | Accepting new patients | |
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients | |
| James R Sawyer MD PC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
- Clinic/Center
- Clovis, NM
- NPI 1114977675
-
- Family Medicine Physician
- Clovis, NM
- NPI 1831268655
-
- Rural Health Clinic/Center
- Dexter, NM
- NPI 1225161474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1881791978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 MEDICAL CENTER DR STE 314",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750696851",
"telephone_number": "724-395-6399",
"fax_number": "469-204-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 MEDICAL CENTER DR STE 314",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75069",
"telephone_number": "972-439-5639"
}
],
"practiceLocations": [
{
"address_1": "2821 E President George Bush Hwy",
"address_2": "Suite103",
"address_purpose": "LOCATION",
"city": "Richardson",
"state": "TX",
"postal_code": "750824266",
"country_code": "US",
"telephone_number": "972-792-7300",
"fax_number": "972-792-7309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIESER",
"first_name": "KENT",
"middle_name": "H",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "A138506",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L9973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169250103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1881791978",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00406313",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41572882",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169250102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.