Individual provider Active NPI

Kevin Ryan Kniery, M.D.

  • Vascular Surgery Physician
  • Fort Sam Houston, TX
National Provider Identifier
1881955029
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD.MD.61224407 Issued in WA
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 916-7500
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD.MD.61224407 WA Primary
Vascular Surgery Physician 2086S0129X S8862 TX

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

9040 Jackson Avenue
Joint Base Lewis McChord, WA 98431-0001
Phone (253) 968-1110

Other practice location 1

9049 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-3105

Other practice location 2

1950 NW Myhre Rd Fl 3
Silverdale, WA 98383-7662
Phone (564) 240-4200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219000209 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 2365754215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Antonio Vascular and Endovascular Clinic PLLCGroup PAC ID 7911263744, 7 clinicians

Practice addresses (Care Compare)

603 E Amber St
Suite 101
San Antonio, TX 78221-2456
Phone (210) 610-7283

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27661NEMDVascular Surgery Physician
MD61224407WAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 13, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 13, 2020 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Dec 7, 2021 Accepting new patients
San Antonio Vascular and Endovascular Clinic PLLC Vascular Surgery CurrentSince Jul 1, 2022 Accepting new patients
South Texas Spinal Clinic, P.a. Past Accepting new patients

Locations

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1701 E State Highway 97
Jourdanton, TX 78026
Phone (210) 257-6151

205 N Oak St
Pearsall, TX 78061
Phone (830) 334-4142

1102 N Main St
Ste 2618
Pleasanton, TX 78064

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

3860 E Interstate Highway 10
San Antonio, TX 78220
Phone (210) 644-5000

590 N General McMullen Dr
San Antonio, TX 78228
Phone (210) 434-1054

603 E Amber St
Ste 101
San Antonio, TX 78221
Phone (210) 660-5040

919 Locke St
San Antonio, TX 78208
Phone (210) 644-8700

7616 Culebra Rd
Ste 130
San Antonio, TX 78251
Phone (210) 509-2603

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

7616 Culebra Rd
San Antonio, TX 78251
Phone (210) 423-3031

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7127 Somerset Rd
Ste 102
San Antonio, TX 78211

Interoperability endpoints

  • Direct secure messaging: kkniery35167@direct.utmsa.com

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, 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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1881955029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVENUE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9049 Fitzsimmons Dr",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984311000",
            "country_code": "US",
            "telephone_number": "253-968-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 NW Myhre Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983837662",
            "country_code": "US",
            "telephone_number": "564-240-4200",
            "fax_number": "564-240-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIERY",
        "first_name": "KEVIN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD.MD.61224407",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "S8862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.