KELLY ROSE KIRTEK CAA, RRT
NPI 1932738812
Anesthesiologist Assistant in Dallas, TX

Active since April 03, 2020
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-7000 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2022, Jun 11, 2020, Apr 3, 2020 (3 updates tracked since 2020).

About Kelly Rose Kirtek Caa, Rrt NPPES

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

KELLY ROSE KIRTEK CAA, RRT (NPI 1932738812) is an individual anesthesiologist assistant in Dallas, Texas and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1932738812
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKELLY ROSE KIRTEKCredential: CAA, RRT
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address4111 Fairmount St Unit 1011Dallas, TX 75219-3303 · (313) 820-1388
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1932738812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Rose Kirtek Caa, Rrt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group

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.

Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

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 Kelly Kirtek's NPI number?

The NPI number for Kelly Kirtek is 1932738812. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Kelly Kirtek located?

Kelly Kirtek practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-7000.

What is Kelly Kirtek's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kelly Kirtek enrolled in Medicare?

Yes. Kelly Kirtek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Kirtek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kirtek reassigns Medicare benefits to Dallas Physician Medical Services For Children Inc (Dallas, 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 Kelly Kirtek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Kirtek was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.