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JEANNOT KEKEDJIAN MD
NPI 1306672365
Student in an Organized Health Care Education/Training Program in Galveston, TX

Active since September 09, 2024PECOS Enrolled
1005 HARBORSIDE DR, FL 6, GALVESTON, TX 77555(409) 747-4087(409) 747-1986 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2026, Aug 13, 2026, Sep 9, 2024 (3 updates tracked since 2024).

About Jeannot Kekedjian Md NPPES

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

JEANNOT KEKEDJIAN MD (NPI 1306672365) is an individual student in an organized health care education/training program in Galveston, Texas, licensed in Texas (BP10087611) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306672365
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEANNOT KEKEDJIANCredential: MD
Location Address1005 HARBORSIDE DR, FL 6Galveston, TX 77555-0001
Mailing Address1755 Wyndale St Apt 401Houston, TX 77030-4169 · (713) 501-3527
Phone(409) 747-4087
Fax(409) 747-1986
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 9, 2024
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1306672365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10087611
Definition
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.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 49132 (TX)
1005 HARBORSIDE DR, Galveston, TX 77555
Open in Google Maps ↗

Secondary Practice Location 1

Location 11515 Holcombe Blvd Unit 428Houston, TX 77030-4028 · Phone (713) 516-3521

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannot Kekedjian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305305632
PECOS Enrollment IDI20260827001463
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeannot Kekedjian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utmb Faculty Group Practice
0.3 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DIEGO AVILES MD
Obstetrics & Gynecology (Gynecologic Oncology)
1005 HARBORSIDE DR, FL 3
GALVESTON, TX 77555
Galveston County (409) 747-4087
DR. JONATHAN A. GERBER M.D.
Urology
1005 HARBORSIDE DR
GALVESTON, TX 77555
Galveston County (409) 772-6781
GINGER LANE PAC
Physician Assistant
1005 HARBORSIDE DR, FL 7
GALVESTON, TX 77555
Galveston County (409) 266-1888
DR. JOSHUA PERSON M.D.
Surgery (Trauma Surgery)
1005 HARBORSIDE DR
GALVESTON, TX 77555
Galveston County (409) 772-6789
AJAY MITTER MD
Internal Medicine (Hematology & Oncology)
1005 HARBORSIDE DR, FL 6
GALVESTON, TX 77555
Galveston County (409) 772-0035
YVETTE F GORDON M.D.
Obstetrics & Gynecology
1005 HARBORSIDE DR
GALVESTON, TX 77555
Galveston County (409) 772-9057
DEENA KAPADIA MD
Internal Medicine (Hepatology)
1005 HARBORSIDE DR, FL 6
GALVESTON, TX 77555
Galveston County (409) 772-0122
DR. IOANA LELIA BONDRE MD
Obstetrics & Gynecology (Gynecologic Oncology)
1005 HARBORSIDE DR, FL 3
GALVESTON, TX 77555
Galveston County (409) 747-4087

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 Jeannot Kekedjian's NPI number?

The NPI number for Jeannot Kekedjian is 1306672365. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Jeannot Kekedjian located?

Jeannot Kekedjian practices at 1005 Harborside Dr Fl 6, Galveston, TX 77555. The listed phone number is (409) 747-4087.

What is Jeannot Kekedjian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeannot Kekedjian enrolled in Medicare?

Yes. Jeannot Kekedjian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeannot Kekedjian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannot Kekedjian reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeannot Kekedjian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeannot Kekedjian accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Jeannot Kekedjian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeannot Kekedjian was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.