KEVIN DANIEL REAL MD
NPI 1184368714
Student in an Organized Health Care Education/Training Program in Fort Worth, TX
About Kevin Daniel Real Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN DANIEL REAL MD (NPI 1184368714) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Daniel Real Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Kevin Real's NPI number?
The NPI number for Kevin Real is 1184368714. It was assigned to this individual provider in the NPPES registry on April 20, 2022.
Where is Kevin Real located?
Kevin Real practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1100.
What is Kevin Real's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kevin Real enrolled in Medicare?
Yes. Kevin Real is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kevin Real was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Kevin Daniel Real, MD · NPI 1184368714
Student in an Organized Health Care Education/Training Program provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 20, 2022.
## Identity
- **NPI:** 1184368714 (Entity type: Individual)
- **Enumerated:** April 20, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184368714) · Data from the CMS NPPES public registry.