DAVID KENDRICK – Medical Physician Assistant, NPI 1154576320

DAVID KENDRICK is a healthcare provider. based in Dallas, Texas. specializing in PHYSICIAN ASSISTANT. The NPI Number for DAVID KENDRICK is 1154576320

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DAVID KENDRICK
NPI
1154576320
Phone
(936) 635-9804
Address
5720 FOREST PARK RD
Enumeration Date
1 December 2008
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012132995
Graduation Year
2008 (18 years ago)
PAC ID
5395893689
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20150731014910
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
dkendrick151837@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:17State licenses:0Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for DAVID KENDRICK

  • 5720, Forest Park Road, Dallas, Dallas County, Texas, 75390, United States

    APT # 3413

    DALLAS, TX 752356420

    Phone: (936) 635-9804

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

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 $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Inari Medical, Inc. ($204).

Total Amount

$204

General + Research + Ownership

Payments

2

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$204
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: 2015-07-31

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
I20150731014910IPhysician AssistantUTTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3939$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th2917$0
View full utilization report →

Insurance plans in this area (ZIP 75235)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID KENDRICK?
DAVID KENDRICK — NPI 1154576320 — is the standard way to identify this listing.
Is DAVID KENDRICK still practicing?
DAVID KENDRICK is currently listed as active in the public NPI registry.
What healthcare role does DAVID KENDRICK hold?
Scheduling teams often label DAVID KENDRICK under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does DAVID KENDRICK serve?
DAVID KENDRICK's listing highlights Dallas, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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