Individual provider Active NPI

Kenneth A Ewane, M.D.

  • Urology Physician
  • Brownsville, TX
National Provider Identifier
1992056048
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
Q2277 Issued in TX
Practice address
800 W Jefferson St Ste 170
Brownsville, TX 78520-6300
Phone
(956) 435-0344
Fax
(956) 435-0420
NPI assigned
Sep 28, 2012
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Q2277 TX Primary
Specialist 174400000X 207212 LA

Addresses

Primary practice location

800 W Jefferson St Ste 170
Brownsville, TX 78520-6300

Mailing address

PO Box 4948
Brownsville, TX 78523-4948
Phone (956) 435-0344

Other practice location 1

401 Dr Michael Debakey Dr
Lake Charles, LA 70601-5864
Phone (337) 436-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140925001344 LA Practitioner - Urology 4981824919 Reassigns benefits to 1 organization
I20210324001858 TX Practitioner - Urology 4981824919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Virginia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Jefferson St
Suite 170
Brownsville, TX 78520-6300
Phone (956) 255-5010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207212LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
McAllen Hospitalist Group, PLLC CurrentSince Dec 23, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
BTX Premier Urology PA Urology CurrentSince Feb 20, 2024 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

401 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 436-6100

4150 Nelson Rd
Ste G
Lake Charles, LA 70605
Phone (337) 310-0440

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

800 W Jefferson St
Ste 170
Brownsville, TX 78520
Phone (956) 255-5010

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

597 W Sesame Dr
Ste F
Harlingen, TX 78550
Phone (956) 428-4535

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

Interoperability endpoints

  • Direct secure messaging: kenneth.ewane@bpu-tx.direct.office.nextgen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1992056048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4948",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785234948",
            "telephone_number": "956-435-0344",
            "fax_number": "956-435-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST STE 170",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206300",
            "telephone_number": "956-435-0344",
            "fax_number": "956-435-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Dr Michael Debakey Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706015864",
            "country_code": "US",
            "telephone_number": "337-436-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWANE",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "Q2277",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "207212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.