Individual provider Active NPI

Kelly S Dempsey, M.D.

  • Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1891888400
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L2638 Issued in TX
Practice address
16651 Southwest Fwy
Suite 360
Sugar Land, TX 77479-2345
Phone
(713) 772-1200
Fax
(281) 491-0426
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L2638 TX Primary

Addresses

Primary practice location

16651 Southwest Fwy
Suite 360
Sugar Land, TX 77479-2345

Mailing address

13811 Murphy Rd
Stafford, TX 77477-4903
Phone (713) 772-1200

Other practice location 1

17510 W Grand Pkwy S Ste 490
Sugar Land, TX 77479-2649
Phone (713) 772-1200

Other identifiers 4

IdentifierTypeStateIssuer
148702705MedicaidTX
P00375788OtherTXMEDICARE RR
7720729OtherTXAETNA
5775122OtherTXCIGNA

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
I20050630001121 TX Practitioner - General Surgery 9739125683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Surgical Associates LLPGroup PAC ID 3072553734, 19 clinicians

Practice addresses (Care Compare)

13811 Murphy Rd
Stafford, TX 77477-4903
Phone (713) 772-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
85
Promoting interoperability
98
Improvement activities
40
Cost
83.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy38
Melanoma (skin cancer) excision21
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swsa VBC PLLC Surgery CurrentSince Jun 4, 2023 Accepting new patients
Southwest Surgical Associates LLP CurrentSince Jul 1, 2006 Accepting new patients
Ut Physicians Surgery Past Accepting new patients

Locations

23920 Katy Fwy
Ste 410
Katy, TX 77494
Phone (832) 437-1410

13811 Murphy Rd
Stafford, TX 77477
Phone (713) 255-6300

17510 W Grand Pkwy S
Ste 490
Sugar Land, TX 77479

16651 Southwest Fwy
Ste 360
Sugar Land, TX 77479
Phone (281) 491-6200

Interoperability endpoints

  • Direct secure messaging: kdempsey@direct.uspi.com
  • Direct secure messaging: kelly.dempsey@sws.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1891888400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 MURPHY RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774903",
            "telephone_number": "713-772-1200",
            "fax_number": "281-491-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16651 SOUTHWEST FWY",
            "address_2": "SUITE 360",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792345",
            "telephone_number": "713-772-1200",
            "fax_number": "281-491-0426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17510 W Grand Pkwy S Ste 490",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792649",
            "country_code": "US",
            "telephone_number": "713-772-1200",
            "fax_number": "281-342-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148702705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00375788",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7720729",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5775122",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.