Active NPI 1902015043 Individual Practitioner Male Practitioner

Dr. John C Kedora , MD

Surgery - Vascular Surgery • Dallas, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Kedora, MD is a certified Surgery - Vascular Surgery practicing in Dallas, TX. With approximately 24 years of clinical experience since graduating from Saint Louis University School Of Medicine in 2002, Dr. Kedora delivers high-quality medical care to the local community at 621 N HALL ST.

Dr. Kedora is affiliated with Healthtexas Provider Network and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, ultrasound study of arm and leg arteries. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

621 N Hall St
Ste 100

Dallas, TX 752261339

Telephone 2148219600

Fax 2148235449

Associated Practice Facility / Clinic

🏢 Texas Heart Hospital Of The Southwest Llc Facility NPI 1609855139

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Dallas, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +1.1 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

50 Specialists

Practicing in Dallas, TX (377 Statewide)

Telehealth Adoption Rate

38.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kedora (24 Years) 24 Yrs

Dallas Specialty Average (22.9 Years) 22.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	222	$238.22	$121.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	212	212	$309.53	$159.12
93922 Ultrasound study of arm and leg arteries	207	164	$298.66	$69.77
93880 Ultrasound of both sides of head and neck blood flow	118	117	$704.18	$176.61
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	100	74	$438.75	$109.90
99443 Telephone medical discussion with physician, 21-30 minutes	87	83	$300.91	$122.17
93990 Ultrasound of dialysis access	80	56	$477.00	$121.10
93926 Ultrasound of one leg arteries or artery grafts	70	57	$476.45	$116.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	61	61	$691.86	$172.95
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	47	27	$4003.12	$900.40
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	37	33	$128.00	$11.54
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	35	32	$664.37	$166.64
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	32	29	$289.94	$74.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$207.18	$106.46
76937 Ultrasonic guidance for blood vessel access	28	25	$48.34	$12.84
35301 Removal of blood clot and portion of artery of neck	24	22	$4242.42	$1025.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$517.48	$162.99
93880 Ultrasound of both sides of head and neck blood flow	16	16	$175.44	$36.08
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	15	14	$1352.55	$224.19
93923 Complete ultrasound study of arm and leg arteries	14	13	$467.87	$110.82
36832 Revision of dialysis graft, open procedure	13	12	$2850.47	$674.22
37226 Insertion of stent in arteries of leg	12	11	$10461.69	$445.04
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$168.44	$86.69
36821 Relocation of arm vein with connection to arm artery, open procedure	12	12	$2496.99	$611.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	188	$238.22	$121.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	203	203	$309.53	$158.41
93922 Ultrasound study of arm and leg arteries	124	105	$298.66	$71.37
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	103	62	$438.75	$112.91
93880 Ultrasound of both sides of head and neck blood flow	65	62	$704.18	$182.27
93970 Ultrasound study of arm or leg veins with compression and maneuvers	64	64	$691.86	$179.74
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	50	22	$4003.12	$935.77
99443 Telephone medical discussion with physician, 21-30 minutes	50	50	$300.91	$121.90
93990 Ultrasound of dialysis access	49	38	$477.00	$119.77
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	41	35	$128.00	$11.89
93926 Ultrasound of one leg arteries or artery grafts	34	31	$476.45	$118.60
76937 Ultrasonic guidance for blood vessel access	27	23	$48.34	$13.55
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	25	18	$5372.92	$1252.08
35301 Removal of blood clot and portion of artery of neck	24	24	$4242.42	$1048.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$517.48	$166.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$409.45	$202.77
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	18	18	$664.37	$168.62
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	16	15	$289.94	$74.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$352.24	$125.38
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	11	11	$3736.57	$920.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$207.18	$107.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	164	$215.76	$122.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$312.61	$159.06
93922 Ultrasound study of arm and leg arteries	130	111	$257.84	$70.52
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	70	50	$419.46	$116.35
93880 Ultrasound of both sides of head and neck blood flow	50	48	$679.26	$188.61
99213 Established patient office or other outpatient visit, typically 15 minutes	47	46	$143.54	$82.61
93926 Ultrasound of one leg arteries or artery grafts	46	39	$474.80	$125.73
93990 Ultrasound of dialysis access	43	38	$415.60	$126.79
93970 Ultrasound study of arm or leg veins with compression and maneuvers	41	41	$645.25	$185.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$281.30	$130.02
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	37	21	$6327.12	$1691.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$202.49	$107.27
76937 Ultrasonic guidance for blood vessel access	31	28	$65.11	$12.95
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	26	16	$4981.91	$1333.72
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	20	19	$288.03	$76.31
35301 Removal of blood clot and portion of artery of neck	17	17	$4022.63	$1053.65
93925 Ultrasound of leg arteries or artery grafts	16	13	$729.98	$238.56
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	15	$601.46	$173.84
36832 Revision of dialysis graft, open procedure	14	13	$1985.82	$690.29
36821 Relocation of arm vein with connection to arm artery, open procedure	12	12	$2125.66	$616.34
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	12	12	$135.33	$11.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$472.21	$190.77
37607 Tying or banding of a passage between an artery and vein	11	11	$1149.95	$245.65
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	11	11	$2261.39	$366.33
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	11	11	$3260.92	$1224.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93922 Ultrasound study of arm and leg arteries	219	163	$238.00	$75.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	213	213	$314.00	$162.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	168	$207.69	$125.80
93990 Ultrasound of dialysis access	140	91	$397.00	$126.40
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	108	75	$405.00	$120.13
93880 Ultrasound of both sides of head and neck blood flow	80	75	$650.00	$195.16
93926 Ultrasound of one leg arteries or artery grafts	66	52	$474.00	$126.84
93970 Ultrasound study of arm or leg veins with compression and maneuvers	56	56	$605.00	$191.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$268.00	$131.64
76937 Ultrasonic guidance for blood vessel access	46	43	$70.00	$13.55
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	37	20	$5000.00	$1052.79
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	34	25	$4928.00	$1473.74
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	26	26	$150.00	$12.13
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	23	20	$287.00	$81.21
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	22	18	$570.00	$180.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$202.00	$107.87
35301 Removal of blood clot and portion of artery of neck	19	19	$3955.00	$1065.81
36830 Connection of tube graft to vein and artery for dialysis	15	15	$2675.00	$630.20
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	15	15	$1347.73	$451.16
37226 Insertion of stent in arteries of leg	14	13	$1071.00	$439.65
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	11	11	$815.00	$230.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$393.00	$193.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93922 Ultrasound study of arm and leg arteries	192	146	$238.00	$74.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	148	$204.00	$106.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	173	173	$314.00	$160.99
93990 Ultrasound of dialysis access	138	91	$397.00	$130.01
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	108	72	$405.00	$118.38
99213 Established patient office or other outpatient visit, typically 15 minutes	79	71	$135.00	$73.05
93926 Ultrasound of one leg arteries or artery grafts	79	55	$474.00	$130.74
93880 Ultrasound of both sides of head and neck blood flow	71	66	$650.00	$194.31
93970 Ultrasound study of arm or leg veins with compression and maneuvers	49	49	$605.00	$189.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$202.00	$105.63
76937 Ultrasonic guidance for blood vessel access	35	30	$70.00	$14.40
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	31	22	$5080.65	$1054.81
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	29	24	$4928.00	$1478.17
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	24	23	$150.00	$12.27
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	23	22	$570.00	$182.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$268.00	$136.40
36830 Connection of tube graft to vein and artery for dialysis	22	22	$2675.00	$655.18
36832 Revision of dialysis graft, open procedure	19	18	$1750.00	$730.51
35301 Removal of blood clot and portion of artery of neck	18	18	$3955.00	$1119.18
76937 Ultrasonic guidance for blood vessel access	17	15	$105.00	$37.12
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	14	14	$287.00	$85.43
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	14	14	$815.00	$233.33
93925 Ultrasound of leg arteries or artery grafts	14	12	$604.00	$247.27
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	12	12	$3685.00	$1349.87
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$765.00	$369.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$202.00	$102.90
93922 Ultrasound study of arm and leg arteries	132	129	$238.00	$74.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	115	$201.50	$103.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$314.00	$156.43
93880 Ultrasound of both sides of head and neck blood flow	86	85	$650.00	$193.66
99213 Established patient office or other outpatient visit, typically 15 minutes	66	64	$135.00	$71.01
93990 Ultrasound of dialysis access	64	60	$397.00	$133.37
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	59	55	$75.97	$11.75
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	56	53	$405.00	$115.51
93926 Ultrasound of one leg arteries or artery grafts	41	41	$474.00	$127.99
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	34	34	$570.00	$182.98
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	32	31	$287.00	$81.74
76937 Ultrasonic guidance for blood vessel access	31	27	$70.00	$13.84
36830 Connection of tube graft to vein and artery for dialysis	30	29	$2675.00	$646.15
93970 Ultrasound study of arm or leg veins with compression and maneuvers	29	29	$605.00	$194.59
35301 Removal of blood clot and portion of artery of neck	27	26	$3955.00	$1093.55
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	26	15	$405.00	$119.64
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	22	16	$5000.00	$1076.09
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	19	19	$1232.00	$427.35
36818 Relocation of arm vein with connection to arm artery, open procedure	18	18	$1500.00	$648.86
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	14	14	$815.00	$240.16
36466 Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance	14	12	$5146.00	$1531.96
36832 Revision of dialysis graft, open procedure	13	12	$1750.00	$686.81
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	13	13	$1077.00	$316.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$393.00	$196.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$268.00	$133.57
93925 Ultrasound of leg arteries or artery grafts	12	12	$604.00	$254.35
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	11	11	$963.00	$369.78
37226 Insertion of stent in arteries of leg	11	11	$1119.68	$423.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	141	$201.50	$103.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	170	170	$202.00	$102.57
99213 Established patient office or other outpatient visit, typically 15 minutes	120	104	$135.00	$70.32
93922 Ultrasound study of arm and leg arteries	116	115	$236.38	$74.04
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	84	74	$38.00	$12.28
93880 Ultrasound of both sides of head and neck blood flow	61	61	$650.00	$202.70
93990 Ultrasound of dialysis access	61	59	$397.00	$133.84
93926 Ultrasound of one leg arteries or artery grafts	45	45	$474.00	$130.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$314.00	$158.86
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	38	37	$405.00	$110.86
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	35	33	$284.23	$84.30
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	32	32	$570.00	$183.35
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	32	29	$810.34	$227.95
36830 Connection of tube graft to vein and artery for dialysis	29	29	$2675.00	$650.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$268.00	$133.52
93970 Ultrasound study of arm or leg veins with compression and maneuvers	27	27	$605.00	$195.92
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	25	23	$572.00	$147.68
35301 Removal of blood clot and portion of artery of neck	24	24	$3955.00	$1117.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$393.00	$197.74
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	17	16	$963.00	$376.21
37226 Insertion of stent in arteries of leg	16	13	$1104.47	$372.82
76937 Ultrasonic guidance for blood vessel access	16	16	$70.00	$14.20
37607 Tying or banding of a passage between an artery and vein	14	14	$1090.00	$255.61
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	14	14	$970.00	$243.41
75630 Review by radiologist of abdominal aorta and both leg arteries image	11	11	$545.00	$86.09
36589 Removal of central venous catheter for infusion	11	11	$450.00	$149.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93922 Ultrasound study of arm and leg arteries	134	129	$238.00	$75.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$202.00	$103.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	106	$201.50	$102.42
99213 Established patient office or other outpatient visit, typically 15 minutes	106	94	$135.00	$68.47
93880 Ultrasound of both sides of head and neck blood flow	98	96	$650.00	$194.08
93990 Ultrasound of dialysis access	94	85	$397.00	$130.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$314.00	$155.80
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	77	67	$38.00	$12.02
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	57	55	$570.00	$183.81
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	50	50	$405.00	$114.39
93926 Ultrasound of one leg arteries or artery grafts	46	44	$474.00	$125.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$268.00	$131.03
93970 Ultrasound study of arm or leg veins with compression and maneuvers	37	36	$605.00	$182.50
36830 Connection of tube graft to vein and artery for dialysis	35	33	$2675.00	$660.51
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	34	32	$666.00	$207.09
35301 Removal of blood clot and portion of artery of neck	28	26	$3955.00	$1121.26
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	21	$190.00	$54.80
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	20	11	$405.00	$119.23
37226 Insertion of stent in arteries of leg	18	18	$1100.75	$462.40
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	18	15	$963.00	$367.88
36832 Revision of dialysis graft, open procedure	17	16	$1750.00	$726.89
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	16	16	$912.00	$282.95
36825 Connection of donor vein to an artery and vein for dialysis	12	12	$2515.00	$789.28
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	12	11	$447.00	$137.23
93925 Ultrasound of leg arteries or artery grafts	12	11	$604.00	$253.35
76937 Ultrasonic guidance for blood vessel access	11	11	$70.00	$14.14
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$139.00	$71.53

Medical Specialties & State Licenses

CMS Verified: 2022-09-01

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License TX M6692

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Specialist

NUCC Taxonomy Code: 174400000X

State License TX M6692

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License

M6692 (TX)

Hospital & Practice Group Affiliations

Healthtexas Provider Network

1650 W College St, Grapevine, TX 760513565

Phone: 8173883440

Healthtexas Provider Network

12505 Lebanon Rd, Frisco, TX 750358298

Phone: 9729633550

Healthtexas Provider Network

4001 Worth St, Dallas, TX 752461608

Healthtexas Provider Network

5252 W University Dr, Mckinney, TX 750717822

Phone: 4697646950

Healthtexas Provider Network

4700 Alliance Blvd, Plano, TX 750935323

Healthtexas Provider Network

6800 Scenic Dr, Rowlett, TX 750884552

Phone: 9725352946

Healthtexas Provider Network

821 N Coleman St, Prosper, TX 750782339

Phone: 4698005200

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Stephen Hohmann , MD

Surgery - Vascular Surgery

NPI 1114020922

Doctor of Medicine (M.D.)

Dr. Toby Dunn , MD

Specialist

NPI 1154384279

Doctor of Medicine (M.D.)

Dr. Erica Davanian , DO

Surgery - Vascular Surgery

NPI 1164878492

Doctor of Osteopathic Medicine (D.O.)

Ashley Moore , RN, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1184017543

Registered Nurse, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Robert Corn , MD

Surgery - Vascular Surgery

NPI 1427314780

Doctor of Medicine (M.D.)

Kate Walker , PA-C

Physician Assistant - Surgical

NPI 1598610453

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2014

Registered at 621 N HALL ST, STE 100, DALLAS, TX 752261339 (Tel: 2148219600)

📍

Updated Business Mailing Address July 23, 2014

Registered at 621 N HALL ST, STE 100, DALLAS, TX 752261339 (Tel: 2148219600)

👤

Provider Name / Credentials Updated July 23, 2014

Recorded as JOHN KEDORA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Specialist (License #M6692 in TX)

🟢

Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902015043

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 22, 2007

Last Update: September 01, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

621 N Hall St, Ste 100

Dallas, TX 752261339

Phone: 2148219600

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.