Individual provider Active NPI

Kenneth Wayne Deeb, M.D.

  • Emergency Medicine Physician
  • Frisco, TX
National Provider Identifier
1932154275
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H7405 Issued in TX
Practice address
5298 Lago Vista LN
Frisco, TX 75034-1210
Phone
(214) 850-3791
NPI assigned
May 24, 2006
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H7405 TX Primary

Addresses

Primary practice location

5298 Lago Vista LN
Frisco, TX 75034-1210

Mailing address

2624 Long Prairie Rd
Flower Mound, TX 75022-4839
Phone (972) 899-6666

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
I20050204000465 TX Practitioner - Emergency Medicine 9335190537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 1982
Medicare assignment
May accept Medicare assignment
Group practices
The Urgent Care Associates of Texas PLLCGroup PAC ID 1355665795, 22 clinicians

Practice addresses (Care Compare)

32784 FM 2978 Rd
Magnolia, TX 77354-6039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas - Cypress PLLC CurrentSince Sep 4, 2024 Accepting new patients
The Urgent Care Associates of Texas, PLLC Emergency Medicine CurrentSince Nov 28, 2023 Accepting new patients
Woodlands Lone Star Emergency Physicians Group, PLLC Emergency Medicine CurrentSince Oct 24, 2025 Accepting new patients
Emcare-Dtxemergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
KP Medical Center Past Accepting new patients
America's ER Site 001, LLC Past Accepting new patients
Texas Emergency Room Services, P.a. Emergency Medicine Past Accepting new patients
First Choice Imaging Past Accepting new patients
Motley Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

32784 FM 2978 Rd
Magnolia, TX 77354
Phone (281) 789-3400

32784 FM 2978 Rd
#B
Magnolia, TX 77354
Phone (281) 789-3400

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

Organizations & group practices 10

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1932154275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224839",
            "telephone_number": "972-899-6666",
            "fax_number": "972-899-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5298 LAGO VISTA LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341210",
            "telephone_number": "214-850-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEB",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H7405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.