Active NPI
Kenneth Armistice Marriott III, M.D.
- Emergency Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- N8121
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-4000
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | N8121 | TX | Primary |
| Emergency Medicine Physician | 207P00000X | 0101236229 | VA |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
30 Waters Edge Way
San Antonio, TX 78248-1021
Phone (210) 305-3505
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
- Emergency Medicine
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20475 Hwy 46 W
Suite 100
Spring Branch, TX 78070-6147
Phone (830) 438-6911
2810 N Loop 1604
Suite 110
San Antonio, TX 78248-2230
Phone (210) 504-4837
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.86 of 100
- Quality
- 92.78
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236229 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| North County Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285
1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000
1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415
6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289
16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
7719 S Ih 35
San Antonio, TX 78224
Phone (210) 572-2955
9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
20475 State Highway 46 W
Ste 100
Spring Branch, TX 78070
Phone (830) 252-5200
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
Interoperability endpoints
- kmarriott66709@direct.utmsa.com
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.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1730637778
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
-
- Emergency Medicine Physician
- Florissant, MO
- NPI 1356366934
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1114473329
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1275235426
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598560997
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1205189172
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1205382413
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1225381197
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1477805406
-
- General Acute Care Hospital
- Schertz, TX
- NPI 1639422504
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1669752234
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1841844735
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1902893183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WATERS EDGE WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782481021",
"telephone_number": "210-305-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRIOTT",
"first_name": "KENNETH",
"middle_name": "ARMISTICE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "N8121",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101236229",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.