KEVIN D FRADKIN (M.D.) – Surgery Physician, NPI 1972603934

KEVIN D FRADKIN (M.D.) is a healthcare provider. based in Houston, Texas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 44107 (CO). The NPI Number for KEVIN D FRADKIN (M.D.) is 1972603934

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN D FRADKIN (M.D.)
NPI
1972603934
Phone
(800) 991-6117
Address
11221 KATY FWY STE 201
Enumeration Date
22 September 2006
Last Update Date
9 January 2026

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8139611331
Graduation Year
2001 (25 years ago)
PAC ID
2860581642
Group Practice PAC ID
5890091409
Professional Enrollment ID
I20071130000601
Address ID
CO805253152FO3665XPKWY502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience94
Completeness85
Years active:19State licenses:4Digital endpointsOther names

2,644 GENERAL SURGERY in TX

Provider Addresses for KEVIN D FRADKIN (M.D.)

  • 11221 KATY FWY STE 201

    HOUSTON, TX 770792105

    Phone: (800) 991-6117

    Type: Location

  • 1900 Glades Rd Ste 100

    Boca Raton, FL 334317333

    Phone: (800) 991-6117

    Fax: (888) 812-8191

    Type: Location

  • 5858 Main St Ste 140

    Frisco, TX 750334194

    Phone: (800) 991-6117

    Type: Location

  • 2701 Matlock Rd Ste 103

    Arlington, TX 760152529

    Phone: (817) 795-8346

    Fax: (817) 717-1840

    Type: Location

  • 3820 NORTHDALE BLVD STE 201

    TAMPA, FL 336241893

    Phone: (800) 991-6117

    Type: Mailing

  • 2001, Butterfield Road, Downers Grove, DuPage County, Illinois, 60148:60515, United States

    STE 300

    DOWNERS GROVE, IL 605151069

    Phone: (630) 725-2832

    Fax: (877) 489-5993

    Type: Mailing

  • Five Points Boulevard, Arlington Highlands, Arlington, Tarrant County, Texas, 76018, United States

    SUITE 133

    ARLINGTON, TX 760186041

    Phone: (817) 522-7070

    Fax: (817) 522-7074

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $232.

Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Medtronic, Inc. ($131).

Total Amount

$232

General + Research + Ownership

Payments

11

Total payment records

General Amount

$232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

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: 2026-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20071130000601IGeneral SurgeryCOTBD
I20140728001024IGeneral SurgeryTXTBD
I20240919001070IGeneral SurgeryNYTBD
I20260119000392IGeneral SurgeryFLTBD

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
93970Ultrasound study of arm or leg veins with compression and maneuvers8864$0
99212Established patient office or other outpatient visit, 10-19 minutes5845$0
99203New patient office or other outpatient visit, 30-44 minutes5757$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance5727$0
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance5521$0
View full utilization report →

Insurance plans in this area (ZIP 77079)

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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: 5890091409View full group profile
NameSpecialtyState
General SurgeryFL
General SurgeryAZ
General SurgeryFL
-FL
-FL
General SurgeryTX
O B S T E T R I C S/ G Y N E C O L O G YCO
General SurgeryPA
Vascular SurgeryCO
Vascular SurgeryNC

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEVIN D FRADKIN (M.D.)?
KEVIN D FRADKIN (M.D.) — NPI 1972603934 — is the standard way to identify this listing.
Is KEVIN D FRADKIN (M.D.) listed as active for patients and plans?
The listing shows KEVIN D FRADKIN (M.D.) as active in the NPI system.
What is KEVIN D FRADKIN (M.D.)'s specialty?
The listing groups KEVIN D FRADKIN (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KEVIN D FRADKIN (M.D.) on a map?
Expect Houston, Texas as a primary anchor for KEVIN D FRADKIN (M.D.) unless the record lists multiple sites.
Why does KEVIN D FRADKIN (M.D.) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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