KEVIN B. WALDREP, M.D.,PLLC
NPI 1841814506
Surgery in Dallas, TX

Q: What is Kevin B. Waldrep, M.D.,pllc's NPI number?

The NPI number for Kevin B. Waldrep, M.D.,pllc is 1841814506. It was assigned to this organization in the NPPES registry on May 28, 2020.

Q: What is Kevin B. Waldrep, M.D.,pllc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 28, 2020

7777 FOREST LN STE B111, DALLAS, TX 75230(972) 566-4204 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 12, 2020, May 28, 2020 (2 updates tracked since 2020).

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About Kevin B. Waldrep, M.d.,pllc NPPES

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

KEVIN B. WALDREP, M.D.,PLLC (NPI 1841814506) is a healthcare organization registered as a surgery in Dallas, Texas and active in the NPI registry since May 2020. The organization lists Francisco A Rodriguez, Credential/director, as its authorized official.

NPPES Registry Identity

NPI1841814506

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameKEVIN B. WALDREP, M.D.,PLLC

Location Address7777 FOREST LN STE B111Dallas, TX 75230-2539

Mailing Address7777 Forest Ln Ste B111Dallas, TX 75230-2539 · (972) 566-4204

Phone(972) 566-4204

Organization SubpartNo

Authorized OfficialFrancisco A RodriguezCredential/director · (972) 566-4204

Enumeration DateMay 28, 2020

Last NPPES UpdateJune 12, 20202 updates tracked since enumeration

NPPES CertifiedJune 12, 2020

✔ NPI 1841814506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

7777 FOREST LN STE B111, Dallas, TX 75230

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin B. Waldrep, M.d.,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin B. Waldrep, M.D.,pllc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Waldrep, M.D.

General Surgery

NPI 1790912061

7777 FOREST LN STE B111
Dallas, TX 75230

(214) 934-6994

✔ PECOSSame address

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

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 B. Waldrep, M.D.,pllc's NPI number?

The NPI number for Kevin B. Waldrep, M.D.,pllc is 1841814506. It was assigned to this organization in the NPPES registry on May 28, 2020.

Where is Kevin B. Waldrep, M.D.,pllc located?

Kevin B. Waldrep, M.D.,pllc is located at 7777 Forest Ln Ste B111, Dallas, TX 75230. The listed phone number is (972) 566-4204.

What is Kevin B. Waldrep, M.D.,pllc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin B. Waldrep, M.D.,pllc enrolled in Medicare?

Yes. Kevin B. Waldrep, M.D.,pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kevin B. Waldrep, M.D.,pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Kevin B. Waldrep, M.D.,pllc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kevin B. Waldrep, M.D.,pllc accept?

Health plans from Molina Healthcare list Kevin B. Waldrep, M.D.,pllc 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 Kevin B. Waldrep, M.D.,pllc was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.