Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derek Kiser, PA-C

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1396498507

Derek Kiser, PA-C is a Physician Assistant in Plano, Texas. Qualified in 2021, 5 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4716 Alliance Blvd Ste 600
Plano, TX 75093-5378
Phone: (214) 820-6358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15279 (TX)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence PA15279 (TX)

Record details

NPI number1396498507
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2022
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address825 Carver St, Mesquite, TX 75149-5011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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