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KERWIN MEDICAL CENTER
NPI 1124613161
Internal Medicine - Geriatric Medicine in Dallas, TX

Active since March 02, 2021CLIA Certified · 2 labs
8198 WALNUT HILL LN STE 100, DALLAS, TX 75231(972) 433-9100(214) 583-2278 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2021, Mar 2, 2021 (2 updates tracked since 2021).

About Kerwin Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERWIN MEDICAL CENTER (NPI 1124613161) is a healthcare organization registered as a geriatric medicine in Dallas, Texas and active in the NPI registry since March 2021. The organization holds 2 active CLIA laboratory certificates and lists Taylor Harris, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124613161
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameKERWIN MEMORY CENTER LLC
Location Address8198 WALNUT HILL LN STE 100Dallas, TX 75231-4316
Mailing Address8198 Walnut Hill Lane, Jackson, Suite 100Dallas, TX 75231
Phone(972) 433-9100
Fax(214) 583-2278
Organization SubpartNo
Authorized OfficialTaylor HarrisOffice Manager · (972) 433-9155
Enumeration DateMarch 2, 2021
Last NPPES UpdateJune 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1124613161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
8198 WALNUT HILL LN STE 100, Dallas, TX 75231
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Other Names 1

Doing Business AsKerwin Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2060331

Kerwin Medical Center · Dallas, TX
Active · expires May 5, 2027
CLIA Number45D2060331
Laboratory TypeClinical Research
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorAlka Khera
Laboratory Phone(972) 433-9100
Laboratory LocationKerwin Medical Center8198 Walnut Hill Lane Suite 100, Dallas, TX 75231
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2313411

Kerwin Medical Center - Oak Cliff · Dallas, TX
Active · expires Oct 29, 2026
CLIA Number45D2313411
Laboratory TypeClinical Research
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorAlka Khera
Laboratory Phone(972) 433-9100
Laboratory LocationKerwin Medical Center - Oak Cliff4315 S Lancaster Rd Suite 170, Dallas, TX 75216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY MICHELLE LIVELY NP-C
Nurse Practitioner (Family)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (214) 345-4449
KRC MEMORY CARE PLLC
Internal Medicine (Geriatric Medicine)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (972) 433-9100
AMITABH GUPTA M.D. PH.D.
Psychiatry & Neurology (Neurology)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (214) 345-4440
JENNIFER THUY VO MSN, RN, ACNP-BC
Nurse Practitioner (Acute Care)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (214) 345-4449
DIANA R KERWIN MD
Internal Medicine (Geriatric Medicine)
8198 WALNUT HILL LN STE 100
DALLAS, TX 75231
Dallas County (214) 345-4449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerwin Memory Center LLC's NPI number?

The NPI number for Kerwin Memory Center LLC is 1124613161. It was assigned to this organization in the NPPES registry on March 2, 2021. The provider is doing business as Kerwin Medical Center.

Where is Kerwin Memory Center LLC located?

Kerwin Memory Center LLC is located at 8198 Walnut Hill Ln Ste 100, Dallas, TX 75231. The listed phone number is (972) 433-9100.

What is Kerwin Memory Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Kerwin Memory Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Kerwin Memory Center LLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.