Individual provider Active NPI

Kent Stuart Aftergut, MD

  • Dermatology Physician
  • Cedar Hill, TX
National Provider Identifier
1922091016
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L1788 Issued in TX
Practice address
610 Uptown Blvd Ste 610
Cedar Hill, TX 75104-3528
Phone
(972) 283-8979
Fax
(469) 532-0273
NPI assigned
Aug 24, 2005
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X L1788 TX Primary

Addresses

Primary practice location

610 Uptown Blvd Ste 610
Cedar Hill, TX 75104-3528

Mailing address

9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Phone (214) 987-3376

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
I20040419000639 TX Practitioner - Dermatology 5698768414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PDP of Texas, PLLCGroup PAC ID 2466455050, 61 clinicians

Practice addresses (Care Compare)

10703 Preston Rd
Dallas, TX 75230-3806
Phone (214) 987-3376

10711 Preston Rd
Suite 100
Dallas, TX 75230-3805
Phone (214) 987-3376

610 Uptown Blvd
Suite 102
Cedar Hill, TX 75104-3528
Phone (972) 283-8979

6750 N Macarthur Blvd
260 Dallas Associated Dermatologists
Irving, TX 75039-2489
Phone (214) 987-3376

7000 Preston Rd
Suite 500
Plano, TX 75024-2573
Phone (214) 987-3376

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as individual
Quality
71.68
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions1751
Skin biopsy200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1788TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PDP of Texas, PLLC Dermatology CurrentSince Apr 1, 2017 Accepting new patients
Pediatric Dermatology of No. TX PastSince Jul 21, 2024 Accepting new patients

Locations

610 Uptown Blvd
Ste 102
Cedar Hill, TX 75104
Phone (972) 283-8979

10703 Preston Rd
Dallas, TX 75230

10711 Preston Rd
Ste 100
Dallas, TX 75230

12222 Coit Rd
Ste 102
Dallas, TX 75251
Phone (469) 899-6723

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

411 N Washington Ave
Ste 4000
Dallas, TX 75246
Phone (214) 820-2521

9900 N Central Expy
Ste 500
Dallas, TX 75231
Phone (214) 692-1900

6750 N MacArthur Blvd
Ste 260
Irving, TX 75039
Phone (214) 692-6566

7445 Las Colinas Blvd
Irving, TX 75063
Phone (877) 504-9759

21800 Katy Fwy
Ste 200
Katy, TX 77449
Phone (713) 771-1100

7000 Preston Rd
Ste 500
Plano, TX 75024

431 E State Highway 114
Ste 300
Southlake, TX 76092
Phone (817) 251-6500

Interoperability endpoints

  • Direct secure messaging: kaftergut@pdptx.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1922091016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310928",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 610",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "972-283-8979",
            "fax_number": "469-532-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFTERGUT",
        "first_name": "KENT",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L1788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.