Judith Gold, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

J9058 Issued in TX

Practice address

450 This Way
Suite B
Lake Jackson, TX 77074

Phone

(979) 297-2220

Fax

(979) 297-3330

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jgold456699@direct.stlukeshealth.org

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

• Judith Gold, M.D., P.a.

  • Nephrology Physician
  • Houston, TX
  • NPI 1013217447
  NPD (past)
• Lake Jackson Dialysis and Kidney Center, LTD, LLP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake Jackson, TX
  • NPI 1215961545
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1104858422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FREEWAY",
            "address_2": "SUITE 1052",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-988-8776",
            "fax_number": "713-988-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 THIS WAY",
            "address_2": "SUITE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "979-297-2220",
            "fax_number": "979-297-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JUDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J9058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GBA #",
            "identifier": "390004959",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "0007BJ",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122059201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Esther Gernand, IBCLC
• Giles Surgical Assisting, LLC
• Jason M Giles, CSFA, LSA
• Michael P Gilliland, MD
• Kavitha Ginjupalli, D.D.S
• Corby Weldon Gotcher, D.D.S.
• Jeevan Chaythan Gowda, MD
• Jonathan Patrick Grady, M.D.
• Kelly Gragert
• Kathleen Graham, D.D.S.

• Nephrology Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.