DR. JOHN C KEDORA M.D. NPI 1902015043

NPI Information

  • NPI: 1902015043
  • Provider Name: DR. JOHN C KEDORA, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 621 N HALL ST
    STE 100
    DALLAS, TX
    ZIP 75226
  • Phone: (214) 821-9600

Map and Directions

Get Directions

NPI Details

DR. John C Kedora, M.D. is a vascular surgery surgery in Dallas, TX with 24 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. John C Kedora, M.D. NPI is 1902015043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

621 N HALL ST
STE 100
DALLAS, TX
ZIP 75226-339
Phone: (214) 821-9600
Fax: (214) 823-5449

The NPI 1902015043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Revision of hemodialysis graft (HCPCS:36832)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Insertion of stent in groin artery, initial vessel (HCPCS:37221)
  • Tying or banding of surgically created artery-vein connection (HCPCS:37607)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/22/2007 and was last updated on 9/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistM6692TEXASNo
22086S0129XSurgeryVascular SurgeryM6692TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M6692OTHERTEXASSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.