Active NPI
Gary Edwin Allen, M.D.
- Vascular & Interventional Radiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- J9611
- Practice address
- 13501 Chenal Pkwy Ste 102
Little Rock, AR 72211-5262 - Phone
- (281) 888-8999
- Fax
- (281) 305-4054
- NPI assigned
- May 24, 2006
- Last updated
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | C8226 | AR | |
| Vascular & Interventional Radiology Physician | 2085R0204X | J9611 | TX | Primary |
Addresses
Primary practice location
13501 Chenal Pkwy Ste 102
Little Rock, AR 72211-5262
Mailing address
P.O. Box 735863
Dallas, TX 75373-5863
Phone (281) 888-8999
Other practice location 1
3319 Unicorn Lake Blvd
Ste 111
Denton, TX 76210-0121
Phone (281) 888-8999
Other practice location 2
1810 Murchison Drive
Ste 104
El Paso, TX 79902-2906
Phone (281) 888-8999
Other practice location 3
1924 Forest Ridge Drive
Ste 300
Bedford, TX 76021-8228
Phone (281) 888-8999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Arkansas College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7616 Branford PL
Suite 140
Sugar Land, TX 77479-3794
Phone (281) 888-8999
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8226 | AR | MD | Vascular & Interventional Radiology Physician |
| J9611 | TX | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nirp Laredo PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Nirp Rio Grande Valley PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Nirp Sugar Land PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Nirp Woodlands PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Nirp Victoria PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Nirp Beaumont, PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Nirp Corpus Christi PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Radiology Consultants of Little Rock, PA | Current | Accepting new patients | |
| Nirp Pasadena, PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Nirp Dallas-Fort Worth PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Nephrology Associates PA | Current | Accepting new patients | |
| Harris and Theodore Anesthesia Services, LLC | Past | Accepting new patients | |
| Shared Medical Services, Inc. | Past | Accepting new patients | |
| Vascular Anesthesia Associates PLLC | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Conway Radiology Consultants, LLC | Past | Accepting new patients |
Locations
8907 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 224-8810
9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210
3401 Springhill Dr
Ste 325
North Little Rock, AR 72117
Phone (501) 955-0320
755 S 11th St
Ste 100A
Beaumont, TX 77701
Phone (409) 729-8088
1924 Forest Ridge Dr
Ste 300
Bedford, TX 76021
2501 Paredes Rd
Ste B7
Brownsville, TX 78526
7101 S Staples St
Corpus Christi, TX 78413
Phone (361) 814-9898
7101 S Staples St
Ste 101
Corpus Christi, TX 78413
Phone (361) 985-0323
1341 W Mockingbird Ln
Dallas, TX 75247
Phone (214) 217-7520
3319 Unicorn Lake Blvd
Ste 111
Denton, TX 76210
Phone (866) 490-3668
1955 E Main St
Eagle Pass, TX 78852
Phone (830) 773-7474
2800 W Trenton Rd
Ste 2868
Edinburg, TX 78539
1810 Murchison Dr
Ste 104
El Paso, TX 79902
Phone (280) 888-8999
1502 Midlane Dr
Ste 111
Harlingen, TX 78552
Phone (512) 287-1532
6419 Polaris Dr
#B2
Laredo, TX 78041
6419 Polaris Dr
Ste B2
Laredo, TX 78041
2270 Matlock Rd
Ste 104
Mansfield, TX 76063
Phone (325) 480-2063
3412 Burke Rd
#100
Pasadena, TX 77504
2764 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 352-1150
7616 Branford Pl
Ste 140
Sugar Land, TX 77479
Phone (817) 605-9310
17191 St Lukes Way
Ste 280
The Woodlands, TX 77384
Phone (936) 202-1260
1908 N Laurent St
Ste 120
Victoria, TX 77901
Phone (361) 576-4673
Organizations & group practices 17
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.
-
dba PAD Specialists - Sugar Land
- Interventional Cardiology Physician
- Sugar Land, TX
- NPI 1174077598
Vascular & Interventional Radiology
-
- Nephrology Physician
- Little Rock, AR
- NPI 1992796924
-
- Diagnostic Radiology Physician
- Little Rock, AR
- NPI 1639124118
-
dba PAD Specialists - Beaumont
- Interventional Cardiology Physician
- Beaumont, TX
- NPI 1609392430
Vascular & Interventional Radiology
-
dba PAD Specialists - Corpus Christi
- Interventional Cardiology Physician
- Corpus Christi, TX
- NPI 1619475761
Vascular & Interventional Radiology
-
dba PAD Specialists - Dallas
- Interventional Cardiology Physician
- Dallas, TX
- NPI 1992260277
Vascular & Interventional Radiology
-
dba PAD Specialists - Laredo
- Interventional Cardiology Physician
- Laredo, TX
- NPI 1063977346
Vascular & Interventional Radiology
-
dba PAD Specialists - Pasadena
- Interventional Cardiology Physician
- Pasadena, TX
- NPI 1912366097
Vascular & Interventional Radiology
-
dba PAD Specialists - Rio Grande Valley
- Interventional Cardiology Physician
- Edinburg, TX
- NPI 1164920211
Vascular & Interventional Radiology
-
dba PAD Specialists - Victoria
- Interventional Cardiology Physician
- Victoria, TX
- NPI 1407354699
Vascular & Interventional Radiology
-
dba PAD Specialists - Woodlands
- Interventional Cardiology Physician
- Conroe, TX
- NPI 1346705639
Vascular & Interventional Radiology
-
dba PAD Specialists - El Paso
- Interventional Cardiology Physician
- El Paso, TX
- NPI 1447715735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1063467256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 735863",
"city": "DALLAS",
"state": "TX",
"postal_code": "753735863",
"telephone_number": "281-888-8999",
"fax_number": "281-305-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13501 CHENAL PKWY STE 102",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722115262",
"telephone_number": "281-888-8999",
"fax_number": "281-305-4054"
}
],
"practiceLocations": [
{
"address_1": "3319 Unicorn Lake Blvd",
"address_2": "Ste 111",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762100121",
"country_code": "US",
"telephone_number": "281-888-8999",
"fax_number": "281-305-4054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1810 Murchison Drive",
"address_2": "Ste 104",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799022906",
"country_code": "US",
"telephone_number": "281-888-8999",
"fax_number": "281-305-4054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1924 Forest Ridge Drive",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "TX",
"postal_code": "760218228",
"country_code": "US",
"telephone_number": "281-888-8999",
"fax_number": "281-305-4054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "GARY",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AR",
"license": "C8226",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "J9611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.