Individual provider Active NPI

Craig Allen De Lord, MD

  • Diagnostic Radiology Physician
  • Port Arthur, TX
National Provider Identifier
1003870882
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H4280 Issued in TX
Practice address
8801 9TH Ave
Port Arthur, TX 77642-8013
Phone
(409) 724-3600
Fax
(985) 646-0750
NPI assigned
Apr 17, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X H4280 TX Primary

Addresses

Primary practice location

8801 9TH Ave
Port Arthur, TX 77642-8013

Mailing address

PO Box 2409
Indianapolis, IN 46206-2409
Phone (800) 550-5606

Other practice location 1

2555 Jimmy Johnson Blvd
Port Arthur, TX 77643
Phone (409) 853-5863

Other practice location 2

709 Little Jeff Dr
Port Neches, TX 77651-4822
Phone (409) 729-5400

Other practice location 3

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Other practice location 4

755 N 11th St
Beaumont, TX 77702-1500
Phone (409) 899-7500

Other practice location 5

3650 Laurel St
Beaumont, TX 77707-2216
Phone (409) 838-0346

Other practice location 6

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-5461

Other practice location 7

6901 Medical Center Dr Ste 100
Orange, TX 77630-1410
Phone (409) 792-6500

Other identifiers 1

IdentifierTypeStateIssuer
132156401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000585 TX Practitioner - Diagnostic Radiology 0648230714 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Texas Imaging LLPGroup PAC ID 3779566906, 3 clinicians

Practice addresses (Care Compare)

20 Noble CT
Heath, TX 75032-6205

4500 S Garnett
Suite 300
Tulsa, OK 74146-5238

4500 S Garnett Rd
Tulsa, OK 74146-5214

7600 Windrose Ave
Plano, TX 75024-0172

7600 Windrose Ave
Suite G325
Plano, TX 75024-0167

7600 Windrose Ave
Unit 325
Plano, TX 75024-0108

8200 E 34TH Cir N
Wichita, KS 67226-1362

8801 9TH Ave
Port Arthur, TX 77642-8013
Phone (409) 724-3600

PO Box
Suite 2469
Indianapolis, IN 46206-2469

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI LP CurrentSince Oct 1, 2019 Accepting new patients
North Star FP, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star FM, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star MCD, LLC Current Accepting new patients
Southeast Texas Imaging LLP Diagnostic Radiology CurrentSince May 1, 1989 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Sep 3, 2019 Accepting new patients
North Star MCD, LLC CurrentSince Sep 3, 2019 Accepting new patients
North Star MRI of Frisco LP CurrentSince Sep 3, 2019 Accepting new patients
North Star MCD, LLC CurrentSince Sep 3, 2019 Accepting new patients
North Star Plano Parkway, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star GV, LP CurrentSince Sep 3, 2019 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology Past Accepting new patients
Christus Health Southeast Texas Past Accepting new patients

Locations

997 Raintree Cir
Ste 110
Allen, TX 75013

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3650 Laurel St
Beaumont, TX 77707
Phone (409) 838-0346

755 N 11th St
Beaumont, TX 77702
Phone (409) 899-1499

755 N 11th St
Ste D1091
Beaumont, TX 77702
Phone (409) 899-4143

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

8501 Wade Blvd
#220N
Frisco, TX 75034

2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

205 E Lavielle St
Kirbyville, TX 75956
Phone (409) 423-2217

1323 S 27th St
Ste 700
Nederland, TX 77627
Phone (409) 729-5400

6901 Medical Center Dr
Ste 100
Orange, TX 77630
Phone (409) 792-6500

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1003870882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2409",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062409",
            "telephone_number": "800-550-5606",
            "fax_number": "985-646-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428013",
            "telephone_number": "409-724-3600",
            "fax_number": "985-646-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Jimmy Johnson Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "77643",
            "country_code": "US",
            "telephone_number": "409-853-5863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 Little Jeff Dr",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776514822",
            "country_code": "US",
            "telephone_number": "409-729-5400",
            "fax_number": "409-729-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 Calder St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021809",
            "country_code": "US",
            "telephone_number": "409-892-7171",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021500",
            "country_code": "US",
            "telephone_number": "409-899-7500",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777072216",
            "country_code": "US",
            "telephone_number": "409-838-0346",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Marvin Hancock Dr",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "75951",
            "country_code": "US",
            "telephone_number": "409-384-5461",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 Medical Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776301410",
            "country_code": "US",
            "telephone_number": "409-792-6500",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LORD",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H4280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132156401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.