Organization provider

GULF COAST GASTROENTEROLOGY, PA

Gastroenterology Physician Medicare enrolled

GULF COAST GASTROENTEROLOGY, PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104904077, based in Lake Jackson, TX. It is classified under Gastroenterology Physician.

Getting there

The practice address on file is 219 OAK DR S STE A, Lake Jackson, TX 77566. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

219 OAK DR S STE A, Lake Jackson, TX 77566 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6608882857

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gastroenterology covers

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. NUCC Health Care Provider Taxonomy, code 207RG0100X
Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104904077 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateNov 1, 2006
Last updatedSep 18, 2023
StatusActive
Practice address 219 OAK DR S STE A
Lake Jackson, TX 77566
(979) 297-4033
Fax (979) 297-4099
Mailing address 104 CIRCLE WAY ST STE B
Lake Jackson, TX 77566
Other identifiers 181777701 (TX)
This record was updated on Sep 18, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1104904077 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 0 4 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 0 8 0 5

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104904077?
NPI 1104904077 is the National Provider Identifier assigned to GULF COAST GASTROENTEROLOGY, PA in Lake Jackson, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gastroenterology cover?
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes…
How do I contact GULF COAST GASTROENTEROLOGY, PA?
The phone number on file with NPPES is (979) 297-4033, last updated Sep 18, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does GULF COAST GASTROENTEROLOGY, PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104904077 a valid number?
Yes. 1104904077 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.