Individual provider Active NPI

Kent H Zieser, DO

  • Internal Medicine Physician
  • McKinney, TX
National Provider Identifier
1881791978
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L9973 Issued in TX
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

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
169250103MedicaidTX
1881791978OtherNPI
P00406313OtherNMRAILROAD MEDICARE PIN
41572882MedicaidNM
169250102MedicaidTX

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
L9973TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.