Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth L Tanyi, MD

Individual provider Surgery Physician · NPI 1306230826

Dr. Kenneth L Tanyi, MD is a General Surgery in Fort Sam Houston, Texas. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2015, 11 years ago. Practices with Centra Medical Group LLC, a 717-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Texas and Virginia.

Years since qualifying
11
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
FL, TX, VA
In the registry since
2015
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 539-9582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 630 S Fleishel Ave, Tyler, TX 75701-2041 — (903) 606-4970

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence T9257 (TX)
Surgery Physician Taxonomy 208600000X · Licence ME160973 (FL)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence ME160973 (FL)
Surgery Physician Taxonomy 208600000X · Licence T9257 (TX)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 0101289258 (VA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence T9257 (TX)
Surgery Physician Taxonomy 208600000X · Licence 0101289258 (VA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 0101289258 (VA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence ME160973 (FL)

Record details

NPI number1306230826
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2015
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2015 (11 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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