DEREK KURT URBAN (MD) – Diagnostic Radiology Physician, NPI 1033197454

DEREK KURT URBAN (MD) is a healthcare provider. based in Lackland a f b, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 068200 (OH). The NPI Number for DEREK KURT URBAN (MD) is 1033197454

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DEREK KURT URBAN (MD)
NPI
1033197454
Phone
(210) 292-6707
Address
2200 BERGQUIST DR
Enumeration Date
5 January 2006
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
888886523818
Graduation Year
1993 (33 years ago)
PAC ID
8224251707
Group Practice PAC ID
2466496880
Professional Enrollment ID
I20151124001096
Address ID
TN371746180SP5014XTERX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for DEREK KURT URBAN (MD)

  • 2200 BERGQUIST DR

    LACKLAND A F B, TX 782369908

    Phone: (210) 292-6707

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 14 Medicare enrollment records; no due dates published yet.

Enrollment records

14

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140602001745IDiagnostic RadiologyMOTBD
I20150402001756IDiagnostic RadiologyWVTBD
I20151124001096IDiagnostic RadiologyTNTBD
I20160810002623IDiagnostic RadiologyFLTBD
I20191002001718IDiagnostic RadiologyOHTBD
I20230824000863IDiagnostic RadiologyARTBD
I20231009003143IDiagnostic RadiologyILTBD
I20231023003014IDiagnostic RadiologyGATBD
I20240714000006IDiagnostic RadiologyNCTBD
I20240714000011IDiagnostic RadiologySCTBD
I20241022002264IDiagnostic RadiologyVATBD
I20241031004310IDiagnostic RadiologyOKTBD
I20250318003040IDiagnostic RadiologyPATBD
I20250723002666IDiagnostic RadiologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view2,1881,175$0
71046X-ray of chest, 2 views800710$0
74018X-ray of abdomen, 1 view686504$0
73502X-ray of hip, 2-3 views138136$0
74230Imaging for evaluation of swallowing function9281$0
View full utilization report →

Insurance plans in this area (ZIP 78236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466496880View full group profile

Reviews

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Frequently asked questions

What identifier follows DEREK KURT URBAN (MD) across health systems?
The NPI 1033197454 uniquely identifies DEREK KURT URBAN (MD) in U.S. healthcare data.
Is DEREK KURT URBAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists DEREK KURT URBAN (MD) as active.
What services align with DEREK KURT URBAN (MD)'s listing?
DEREK KURT URBAN (MD)'s public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DEREK KURT URBAN (MD)?
DEREK KURT URBAN (MD) shows a connection to Lackland A F B, Texas in registry-derived data.
Why is information missing for DEREK KURT URBAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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