Individual provider Active NPI

Joseph Richard Kilianski III, M.D.

  • Neurological Surgery Physician
  • Lewisville, TX
National Provider Identifier
1902289150
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
S9541 Issued in TX
Practice address
1700 FM 544 Ste 100
Lewisville, TX 75056-4915
Phone
(972) 394-4600
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X S9541 TX Primary

Addresses

Primary practice location

1700 FM 544 Ste 100
Lewisville, TX 75056-4915

Mailing address

1700 FM 544 Ste 100
Lewisville, TX 75056-4915
Phone (972) 394-4600

Other identifiers 1

IdentifierTypeStateIssuer
S9541OtherTXTMB

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
I20210913000821 TX Practitioner - Neurosurgery 0648561373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Comprehensive Neurosurgery PLLCGroup PAC ID 7012273444, 3 clinicians

Practice addresses (Care Compare)

1600 W College St
Grapevine, TX 76051-3575

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

1700 FM
544 Suite 100
Lewisville, TX 75056-4686
Phone (214) 731-0300

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
84.07 of 100Reported as group
Quality
83.27
Improvement activities
40
Cost
59.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion37
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9541TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 12, 2026 Accepting new patients
Rob Dickerman DO PHD PA Neurological Surgery CurrentSince Jul 1, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 12, 2026 Accepting new patients
Comprehensive Neurosurgery PLLC Neurological Surgery CurrentSince May 22, 2023 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

5575 Frisco Square Blvd
Ste 110
Frisco, TX 75034
Phone (972) 238-0512

1600 W College St
Ste 140
Grapevine, TX 76051
Phone (817) 481-2088

1700 FM 544
Ste 100
Lewisville, TX 75056
Phone (214) 731-0300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGJBBD

Organizations & group practices 6

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 4

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1902289150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 FM 544 STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564915",
            "telephone_number": "972-394-4600",
            "fax_number": "972-394-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 FM 544 STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564915",
            "telephone_number": "972-394-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILIANSKI",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "S9541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "S9541",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.