DR. KENNETH WAYNE DEEB (M.D.) – Emergency Medicine Physician, NPI 1932154275

DR. KENNETH WAYNE DEEB (M.D.) is a healthcare provider. based in Flower mound, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. H7405 (TX). The NPI Number for DR. KENNETH WAYNE DEEB (M.D.) is 1932154275

Main info

Male
Sole Proprietor
44 Years Of Experience
Name
DR. KENNETH WAYNE DEEB (M.D.)
NPI
1932154275
Phone
(972) 899-6666
Address
2624 LONG PRAIRIE RD
Enumeration Date
24 May 2006
Last Update Date
2 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
2817893400
Graduation Year
1982 (44 years ago)
PAC ID
9335190537
Group Practice PAC ID
1355665795
Professional Enrollment ID
I20050204000465
Address ID
TX773546039MA32784RDXX401
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

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for DR. KENNETH WAYNE DEEB (M.D.)

  • 2624, Long Prairie Road, Flower Mound, Denton County, Texas, 75028, United States

    FLOWER MOUND, TX 750224839

    Phone: (972) 899-6666

    Fax: (972) 899-6669

    Type: Mailing

  • 5298, Lago Vista Lane, Starwood, Frisco, Denton County, Texas, 75034, United States

    FRISCO, TX 750341210

    Phone: (214) 850-3791

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-01-13 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
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: 2005-02-04

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
I20050204000465IEmergency 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.

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

Insurance plans in this area (ZIP 75022)

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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: 1355665795View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTN
Emergency MedicineNY
-TX
Emergency MedicineTX
Nurse PractitionerCA
Emergency MedicineTX
Emergency MedicineOH
-TX
Emergency MedicineTX

Reviews

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Frequently asked questions

What is the standard ID for DR. KENNETH WAYNE DEEB (M.D.) in the U.S.?
In the U.S., DR. KENNETH WAYNE DEEB (M.D.) is identified by NPI 1932154275.
Is DR. KENNETH WAYNE DEEB (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. KENNETH WAYNE DEEB (M.D.) as active.
How should patients interpret DR. KENNETH WAYNE DEEB (M.D.)'s specialty?
The extract shows Emergency Medicine Physician for DR. KENNETH WAYNE DEEB (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KENNETH WAYNE DEEB (M.D.)?
DR. KENNETH WAYNE DEEB (M.D.) is associated with Flower Mound, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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