DR. KENNETH B. DEKLEVA (MD) – Psychiatry Physician, NPI 1568582773

DR. KENNETH B. DEKLEVA (MD) is a healthcare provider. based in Dallas, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. H7993 (TX). The NPI Number for DR. KENNETH B. DEKLEVA (MD) is 1568582773

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH B. DEKLEVA (MD)
NPI
1568582773
Phone
(214) 645-0624
Address
PO BOX 845347
Enumeration Date
30 March 2007
Last Update Date
3 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2145905685
Graduation Year
1989 (37 years ago)
PAC ID
1557659844
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20161020000223
Address ID
TX753907208DA5323XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for DR. KENNETH B. DEKLEVA (MD)

  • PO BOX 845347

    DALLAS, TX 752845347

    Phone: (214) 645-0624

    Fax: (214) 645-0078

    Type: Mailing

  • 6363 FOREST PARK ROAD

    SUITE 749

    DALLAS, TX 753909121

    Phone: (214) 645-8500

    Fax: (214) 645-3775

    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: 2016-10-20

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
I20161020000223IPsychiatryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes24696$0
90833Psychotherapy with evaluation and management visit, 30 minutes11354$0
99214Established patient office or other outpatient visit, 30-39 minutes5428$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 0648188250View full group profile
NameSpecialtyState
-TX
Diagnostic RadiologyTX
Anesthesiology, Pain ManagementFL
-TX
Internal MedicineTX
-TX
U R O L O G YTX
-TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What is the registry number for DR. KENNETH B. DEKLEVA (MD)?
The registry entry for DR. KENNETH B. DEKLEVA (MD) shows NPI 1568582773.
Does the public listing show DR. KENNETH B. DEKLEVA (MD) as active?
DR. KENNETH B. DEKLEVA (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. KENNETH B. DEKLEVA (MD) provide?
DR. KENNETH B. DEKLEVA (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH B. DEKLEVA (MD) tied to Dallas, Texas?
If you are local to Dallas, Texas, DR. KENNETH B. DEKLEVA (MD) may be relevant to your search.
Why is information missing for DR. KENNETH B. DEKLEVA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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