JEROME DOUGLAS KIZZART (MD) – Internal Medicine Physician, NPI 1750329140

JEROME DOUGLAS KIZZART (MD) is a healthcare provider. based in Floresville, Texas. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, EMERGENCY MEDICINE, SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. H3823 (TX). The NPI Number for JEROME DOUGLAS KIZZART (MD) is 1750329140

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
JEROME DOUGLAS KIZZART (MD)
NPI
1750329140
Phone
(830) 299-4040
Address
923 10TH ST
Enumeration Date
4 June 2006
Last Update Date
29 November 2014

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
8063642141
Graduation Year
1982 (44 years ago)
PAC ID
4880587849
Group Practice PAC ID
0446296818
Professional Enrollment ID
I20040204000160
Address ID
TX790452820HE540XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,360 CRITICAL CARE (INTENSIVISTS) in TX

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Provider Addresses for JEROME DOUGLAS KIZZART (MD)

  • 923, 10th Street, Floresville, Wilson County, Texas, 78114, United States

    SUITE 101

    FLORESVILLE, TX 781141851

    Phone: (830) 299-4040

    Fax: (281) 826-2598

    Type: Mailing

  • Saint Marys Hall, 9401, Starcrest Drive, San Antonio, Bexar County, Texas, 78217, United States

    SAN ANTONIO, TX 782053413

    Phone: (830) 299-4040

    Fax: (281) 826-2598

    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: 2004-02-04

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
I20040204000160IInternal 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
99284Emergency department visit with moderate level of medical decision making6967$0
99285Emergency department visit with high level of medical decision making3434$0
99283Emergency department visit with low level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 78114)

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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: 0446296818View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeTX
-TX
Internal MedicineTX
-TX
-AR
Emergency Medicine, Family PracticeTN
Nurse PractitionerTX
-TX
Obstetrics/Gynecology, Emergency MedicineFL

Reviews

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Frequently asked questions

Can I cross-check JEROME DOUGLAS KIZZART (MD) using NPI 1750329140?
NPI 1750329140 belongs to JEROME DOUGLAS KIZZART (MD); compare other details if you need extra assurance.
Would JEROME DOUGLAS KIZZART (MD) appear as active to a payer?
You can treat JEROME DOUGLAS KIZZART (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JEROME DOUGLAS KIZZART (MD)?
At a glance, JEROME DOUGLAS KIZZART (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEROME DOUGLAS KIZZART (MD)?
Travel planning: use Floresville, Texas as the reference point for JEROME DOUGLAS KIZZART (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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