KEANDRE TAYLOR
NPI 1851115448
Physician Assistant in Dallas, TX

Active since November 11, 2024PECOS EnrolledAccepts Medicare Assignment
122 W COLORADO BLVD, DALLAS, TX 75208(214) 947-6700(214) 947-6701 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, May 19, 2025, Nov 11, 2024 (3 updates tracked since 2024).

About Keandre Taylor NPPES

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

KEANDRE TAYLOR (NPI 1851115448) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA18760) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Methodist Dallas Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1851115448
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEANDRE TAYLOR
Location Address122 W COLORADO BLVDDallas, TX 75208-2382
Mailing Address122 W Colorado BlvdDallas, TX 75208-2382 · (214) 947-6700 · Fax (214) 947-6701
Fax(214) 947-6701
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 11, 2024
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1851115448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TX · PA18760 Licensed in TX · 1216468
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
122 W COLORADO BLVD, Dallas, TX 75208

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keandre Taylor is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082128087
PECOS Enrollment IDI20250710002285
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Dallas Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450051
Location1441 North Beckley AvenueDallas, TX 75203 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Family)
122 W COLORADO BLVD
DALLAS, TX 75208
Internal Medicine
122 W COLORADO BLVD
DALLAS, TX 75208
Internal Medicine (Infectious Disease)
122 W COLORADO BLVD
DALLAS, TX 75208
Surgery
122 W COLORADO BLVD
DALLAS, TX 75208
Nurse Practitioner (Family)
122 W COLORADO BLVD
DALLAS, TX 75208
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
122 W COLORADO BLVD, 2ND FLOOR
DALLAS, TX 75208
Obstetrics & Gynecology (Maternal & Fetal Medicine)
122 W COLORADO BLVD
DALLAS, TX 75208
Nurse Practitioner (Primary Care)
122 W COLORADO BLVD
DALLAS, TX 75208

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 Keandre Taylor's NPI number?

The NPI number for Keandre Taylor is 1851115448. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Keandre Taylor located?

Keandre Taylor practices at 122 W Colorado Blvd, Dallas, TX 75208. The listed phone number is (214) 947-6700.

What is Keandre Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keandre Taylor enrolled in Medicare?

Yes. Keandre Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Keandre Taylor affiliated with any hospitals?

According to CMS data, Keandre Taylor is affiliated with Methodist Dallas Medical Center.

When was this NPI record last updated?

The NPPES record for Keandre Taylor was last updated on May 19, 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.