Individual provider Active NPI

Stephen George Krzeminski, D.O.

  • Facial Plastic Surgery Physician
  • Granbury, TX
National Provider Identifier
1992783393
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
K8272 Issued in TX
Practice address
1305 Paluxy Rd
Suite a
Granbury, TX 76048-5641
Phone
(817) 573-6673
Fax
(817) 573-9783
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X K8272 TX Primary

Addresses

Primary practice location

1305 Paluxy Rd
Suite a
Granbury, TX 76048-5641

Mailing address

1305 Paluxy Rd
Suite a
Granbury, TX 76048-5641
Phone (817) 573-6673

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
I20041014001211 TX Practitioner - Otolaryngology 4587624408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Chicago College of Osteopathy, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore ENTGroup PAC ID 2466412226, 3 clinicians

Practice addresses (Care Compare)

1305 Paluxy Rd
Suite a
Granbury, TX 76048-5641
Phone (817) 573-6673

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore ENT Facial Plastic Surgery CurrentSince Mar 24, 1999 Accepting new patients
Somervell County Hospital District Current Accepting new patients
Freedom Pain Care LLC PastSince Sep 1, 2004 Accepting new patients
Granbury Surgical Plaza PastSince Feb 22, 2008 Accepting new patients

Locations

1305 Paluxy Rd
Ste A
Granbury, TX 76048
Phone (817) 573-6673

925 Santa Fe Dr
Ste 112
Weatherford, TX 76086
Phone (817) 533-5233

Interoperability endpoints

  • Direct secure messaging: stephenkrzeminski@grmf.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992783393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PALUXY RD",
            "address_2": "SUITE A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485641",
            "telephone_number": "817-573-6673",
            "fax_number": "817-573-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PALUXY RD",
            "address_2": "SUITE A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485641",
            "telephone_number": "817-573-6673",
            "fax_number": "817-573-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZEMINSKI",
        "first_name": "STEPHEN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "K8272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.