DR. JEFFREY RUSSELL KEMP (M.D.) – Internal Medicine Physician, NPI 1104266246

DR. JEFFREY RUSSELL KEMP (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. R0429 (TX). The NPI Number for DR. JEFFREY RUSSELL KEMP (M.D.) is 1104266246

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY RUSSELL KEMP (M.D.)
NPI
1104266246
Phone
(903) 291-6187
Address
PO BOX 610393
Enumeration Date
3 July 2013
Last Update Date
24 September 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9034164000
Graduation Year
2013 (13 years ago)
PAC ID
9638478845
Group Practice PAC ID
1850831637
Professional Enrollment ID
I20161215001338
Address ID
TX750204584DE5016X75XX508
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. JEFFREY RUSSELL KEMP (M.D.)

  • PO BOX 610393

    DALLAS, TX 752610393

    Phone: (903) 291-6187

    Fax: (903) 237-1810

    Type: Mailing

  • 2901 4TH ST

    HOSPITALIST

    LONGVIEW, TX 756055128

    Phone: (903) 758-1818

    Type: Location

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: 2016-12-15

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
I20161215001338IInternal MedicineTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes849244$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes222210$0
99239Hospital discharge day management, more than 30 minutes166163$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4531$0
99238Hospital discharge day management, 30 minutes or less1616$0
View full utilization report →

Insurance plans in this area (ZIP 75261)

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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: 1850831637View full group profile
NameSpecialtyState
Internal MedicineMI
Internal Medicine, HospitalistTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineFL
Internal MedicineTX
Emergency Medicine, Internal MedicineTX
Internal MedicineVA
Internal MedicineTX

Reviews

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Frequently asked questions

How do I look up DR. JEFFREY RUSSELL KEMP (M.D.) by NPI?
Use NPI 1104266246 when you need to reference DR. JEFFREY RUSSELL KEMP (M.D.) in forms, claims, or directories.
Is DR. JEFFREY RUSSELL KEMP (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JEFFREY RUSSELL KEMP (M.D.) as an active registrant.
Does DR. JEFFREY RUSSELL KEMP (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. JEFFREY RUSSELL KEMP (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. JEFFREY RUSSELL KEMP (M.D.)'s primary listing?
We display Dallas, Texas because that is what the record indicates for DR. JEFFREY RUSSELL KEMP (M.D.).
Is DR. JEFFREY RUSSELL KEMP (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104266246. Always confirm identity and privileges with the practice and licensing boards.

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