NPI age
20 years
Enumerated 2006-02-10
● Active
Type 1 · Individual
DR. Kenneth D Cushman, MD
Cushman is 1 of 152 family medicine providers in Tyler and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
520 East Douglas Blvd
Tyler, TX 75702
Mailing address
Po Box 846098
Dallas, TX 752846098
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 129526304 | |
| 01 (TX) | CU083Y750 | BCBS |
| 01 (TX) | 4540308 | AETNA |
| 01 (TX) | 080078392 | MEDICARE RAILROAD |
| 01 (TX) | 123043 | CHIPS |
| 01 (TX) | 752616977048 | TRICARE CHAMPUS |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 2 new family medicine providers have been added in Tyler in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.