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

Kevin Ceballos

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114555190

Kevin Ceballos is an Internal Medicine in Georgetown, Texas. Qualified in 2020, 6 years ago. Practices with Capital Area Primary Care, PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

105 Wildwood Dr Ste 105
Georgetown, TX 78633-1344
Phone: (786) 423-5819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence U4166 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114555190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address1706 Cedar Bend Dr Unit C, Austin, TX 78758-2602

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Capital Area Primary Care, Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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