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)
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.