KEVIN DANIEL REAL MD
NPI 1184368714
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since April 20, 2022PECOS Enrolled
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1100 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Apr 20, 2022 (2 updates tracked since 2022).

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About KEVIN REAL

This page provides the complete NPI Profile along with additional information for Kevin Real, a primary care provider established in Fort Worth, Texas with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1184368714 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated March 2026.

NPI
1184368714 Verify this NPI
Provider Name
KEVIN DANIEL REAL MD
Gender
Male
Entity Type
Individual
Location Address
1500 S MAIN ST FORT WORTH, TX 76104
Location Phone
(817) 702-1100
Mailing Address
1500 S MAIN ST FORT WORTH, TX 76104
Mailing Phone
(817) 702-1100
Is Sole Proprietor?
Yes
Enumeration Date
04-20-2022
Last Update Date
03-26-2026
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A primary care provider (PCP) like Kevin Real sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License State
TX
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Kevin Real is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for KEVIN DANIEL REAL MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
1500 S MAIN ST, JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY
FORT WORTH, TX 76104
General Acute Care Hospital
1500 S MAIN ST, PHYSICIAN SERVICES
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FORT WORTH
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY HEALTH CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, DEPT. OF FAMILY MEDICINE
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
1500 S MAIN ST
FORT WORTH, TX 76104
Emergency Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner
1500 S MAIN ST
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
1500 S MAIN ST
FORT WORTH, TX 76104
Pediatrics
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner
1500 S MAIN ST
FORT WORTH, TX 76104
Pediatrics
1500 S MAIN ST
FORT WORTH, TX 76104
Dermatology
1500 S MAIN ST
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1500 S MAIN ST
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184368714, enumerated as an "individual" on April 20, 2022.

The provider is located at 1500 S MAIN ST FORT WORTH, TX 76104 and the phone number is (817) 702-1100.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.