Active NPI
Joseph Richard Kilianski III, M.D.
- Neurological Surgery Physician
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- S9541
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S9541 | Other | TX | TMB |
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
Enrollment records 1
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
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
- Texas Health Presbyterian Hospital Plano
- Medical City Plano
- Baylor Scott & White Institute for Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.07 of 100
- Quality
- 83.27
- Improvement activities
- 40
- Cost
- 59.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 37 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S9541 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Rob Dickerman DO PHD PA | Neurological Surgery | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Comprehensive Neurosurgery PLLC | Neurological Surgery | Current | 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
- 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.
-
- Neurological Surgery Physician
- Lewisville, TX
- NPI 1982127627
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Neurological Surgery Physician
- Frisco, TX
- NPI 1942370960
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1992429161
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- General Acute Care Hospital
- Plano, TX
- NPI 1770514077
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.