Allister Derwin Arnold, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Corpus Christi, TX

NPI 1114993169 · NPPES record last updated Oct 4, 2012

Key facts

NPI
1114993169
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
M0644 (TX)
Practice address
3533 S Alameda St
Cpsst, 5TH Floor Sloan BLDG. Radiology
Corpus Christi, TX 78411-1721
Phone
(361) 694-5240
Fax
(361) 694-4080
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Physician Services of South Texas (65 clinicians)

Practice addresses (Care Compare)

1120 E Ridge Rd
McAllen, TX 78503-5490

2820 W Michaelangelo Dr
Edinburg, TX 78539-1402
Phone (956) 558-6400

2821 W Michaelangelo Dr
Edinburg, TX 78539-1402
Phone (956) 558-6400

3533 S Alameda St
Corpus Christi, TX 78411-1721

5500 N Expressway
Brownsville, TX 78526-3411
Phone (956) 698-8600

5500 N Expressway
77 Suite 201
Brownsville, TX 78411-1721
Phone (956) 698-8600

Hospital & facility affiliations

  • Driscoll Childrens Hospital Hospital · Corpus Christi, TX · CCN 453301

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050406001256 TX Practitioner - Diagnostic Radiology 5193719102 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M0644TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas Diagnostic Radiology Past Accepting new patients
Unimed, LTD Diagnostic Radiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M0644 TX Yes

Addresses

Primary practice location

3533 S Alameda St
Cpsst, 5TH Floor Sloan BLDG. Radiology
Corpus Christi, TX 78411-1721

Mailing address

3533 S Alameda St
Cpsst, 5TH Floor Sloan BLDG,
Corpus Christi, TX 78411-1721
Phone (361) 694-5240

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 4, 2012.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1114993169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "address_2": "CPSST, 5TH FLOOR SLOAN BLDG,",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5240",
            "fax_number": "361-694-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "address_2": "CPSST, 5TH FLOOR SLOAN BLDG. RADIOLOGY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5240",
            "fax_number": "361-694-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ALLISTER",
        "middle_name": "DERWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M0644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

All providers in Corpus Christi, TX · Diagnostic Radiology Physician in Texas

Sources for this page

Verify at the official NPI Registry.