AMANDA KILLEEN (DPM) – Podiatrist, NPI 1033668173

AMANDA KILLEEN (DPM) is a healthcare provider. based in Dallas, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2383 (TX). The NPI Number for AMANDA KILLEEN (DPM) is 1033668173

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA KILLEEN (DPM)
NPI
1033668173
Phone
(435) 668-9258
Address
5323 Harry Hines Blvd # F4.310
Enumeration Date
30 September 2016
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
9562961519
Graduation Year
2016 (10 years ago)
PAC ID
9032537956
Group Practice PAC ID
3577885276
Professional Enrollment ID
I20200909002357
Address ID
TX785508736HA2106XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

Provider Addresses for AMANDA KILLEEN (DPM)

  • 5323 Harry Hines Blvd # F4.310

    Dallas, TX 753900001

    Phone: (435) 668-9258

    Type: Location

  • 5323 HARRY HINES BLVD # F4.310

    DALLAS, TX 753900001

    Phone: (435) 668-9258

    Type: Location

  • 1409 N ZANG BLVD APT 916

    DALLAS, TX 752031235

    Phone: (435) 668-9258

    Type: Mailing

  • 2106 TREASURE HILLS BLVD # 1.326

    HARLINGEN, TX 785508736

    Phone: (956) 296-1519

    Fax: (956) 296-1331

    Type: Location

  • 5323 HARRY HINES BLVD # F4.124

    DALLAS, TX 753907208

    Phone: (214) 648-7284

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Averitas Pharma Inc. ($58).

Total Amount

$87

General + Research + Ownership

Payments

2

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200909002357IPodiatryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75390)

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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: 3577885276View full group profile
NameSpecialtyState
P O D I A T R YTX
-TX
Physician AssistantTX
Internal MedicineTX
P O D I A T R YTX
D E R M A T O L O G YTX
Family PracticeTX
Hematology, Medical OncologyTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I cross-check AMANDA KILLEEN (DPM) using NPI 1033668173?
NPI 1033668173 belongs to AMANDA KILLEEN (DPM); compare other details if you need extra assurance.
Is there an active status for AMANDA KILLEEN (DPM)?
For scheduling context, AMANDA KILLEEN (DPM) is shown as active in the registry.
What clinical focus is listed for AMANDA KILLEEN (DPM)?
At a glance, AMANDA KILLEEN (DPM) is tied to Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Texas is AMANDA KILLEEN (DPM) registered?
Use Dallas, Texas as the headline location for AMANDA KILLEEN (DPM) here.
Does AMANDA KILLEEN (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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