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Active NPI 1336335223 Individual Practitioner Male Practitioner

Dr. Philip Llewellyn Kelton , MD

Surgery - Plastic and Reconstructive Surgery • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Philip Kelton, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Dallas, TX. Practice services are available at 3600 GASTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3600 Gaston Ave
Wadley Tower Suite 1054

Dallas, TX 752461800

Telephone 2148268950
Fax 2148263434
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
49 Specialists

Practicing in Dallas, TX (402 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX D7112

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
115836201 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mamta Gupta , MD

Internal Medicine

NPI 1003007022

Doctor of Medicine (M.D.)

Dr. Ariel Modrykamien , MD

Internal Medicine - Pulmonary Disease

NPI 1003012477

Doctor of Medicine (M.D.)

Susan Chesire , ANP

Nurse Practitioner - Adult Health

NPI 1003167982

Adult Nurse Practitioner

NPI 1003865890

Doctor of Podiatric Medicine

Dr. Sadat Shamim , MD

Psychiatry & Neurology - Neurology

NPI 1013064435

Doctor of Medicine (M.D.)

Dr. Kimber Foust , MD

Internal Medicine - Critical Care Medicine

NPI 1013176718

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 20, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2010

Registered at 3600 GASTON AVE, WADLEY TOWER SUITE 1054, DALLAS, TX 752461800 (Tel: 2148268950)

📍
Updated Business Mailing Address August 20, 2010

Registered at 3600 GASTON AVE, WADLEY TOWER SUITE 1054, DALLAS, TX 752461800 (Tel: 2148268950)

👤
Provider Name / Credentials Updated August 20, 2010

Recorded as PHILIP KELTON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2010

Surgery (License #D7112 in TX)

🟢
Initial NPI Registration & Enumeration September 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336335223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2007
Last Update: August 20, 2010
Sole Proprietor: Yes

Mailing Address

3600 Gaston Ave, Wadley Tower Suite 1054

Dallas, TX 752461800

Phone: 2148268950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.