Keith Lepak, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

H9670 Issued in TX

Practice address

2700 E Eldorado Pkwy
Ste 104
Little Elm, TX 75068-5999

Phone

(972) 987-4935

Fax

(972) 987-4574

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Southlake Emergicare PLLC

  • Emergency Medicine Physician
  • Southlake, TX
  • NPI 1598172033
  Medicare reassignment NPD
• Complete Emergency Care Southlake LLC

  • Emergency Care Clinic/Center
  • Southlake, TX
  • NPI 1174937668
  NPD (past)
• Erca Physicians PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Little Elm, TX
  • NPI 1386980647
  NPD (past)
• Parallel Parkway Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Kansas City, KS
  • NPI 1629351457
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1992771745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PRESTON RD",
            "address_2": "STE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242610",
            "telephone_number": "972-403-1155",
            "fax_number": "972-608-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E ELDORADO PKWY",
            "address_2": "STE 104",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685999",
            "telephone_number": "972-987-4935",
            "fax_number": "972-987-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPAK",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H9670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133591103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Elizabeth Leeper, MSN, APRN, FNP-C
• Leesam Transportation Services LLC
• Legacy Healthcare Providers
• Legacy Home Care Partners Inc
• Catherine Ann Lehner
• Yuen Shan Leung
• Hope Stephanie Lewis, LPC
• Robin Lewis
• Hsin-Lun Li
• Vanphaphone Linavong, D.D.S.

• Emergency Medicine Physician in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.