Kennedy Gombert
NPI 1154199792 · Surgical Physician Assistant · Richardson, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kennedy Gombert is a Surgical Physician Assistant provider in Richardson, TX (NPI 1154199792).
Provider details
- NPI number
- 1154199792
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA19009 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 325 Fm 548 Ste 100Forney, TX 75126-6992Phone: (972) 771-8111
- 1301 Summer Lee DrRockwall, TX 75032-5452Phone: (972) 771-8111
- 200 N Arch StRoyse City, TX 75189-8631Phone: (972) 771-8111
- 200 N Virginia StTerrell, TX 75160-2732Phone: (972) 771-8111
- 731 Woodbridge Pkwy Ste 100Wylie, TX 75098-7165Phone: (972) 771-8111
Registry dates
- Enumerated
- 2023-12-13
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is Kennedy Gombert's NPI number?
- Kennedy Gombert's National Provider Identifier (NPI) is 1154199792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedy Gombert's specialty?
- Kennedy Gombert is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kennedy Gombert located?
- Kennedy Gombert's practice location on file with NPPES is 2323 N Central Expy, Richardson, TX 75080-2712.
- What is Kennedy Gombert's phone number?
- The practice phone number listed in the NPPES registry for Kennedy Gombert is (214) 453-4533.
- Does Kennedy Gombert accept Medicare?
- Kennedy Gombert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kennedy Gombert's NPI active?
- Yes — Kennedy Gombert's NPI (1154199792) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.