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
Hospital & facility affiliations 1
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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050406001256 | TX | Practitioner - Diagnostic Radiology | 5193719102 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0644 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Cathy Laverne Armstrong
- Connor Alonzo Armstrong
- Julia Armstrong
- Kacie Armstrong
- Martha Arneson
- Briana Arnold
- Arnoldo R. Villarreal, M. D., P.a.
- Martha Marie Arnolds
- Kenechukwu Okechukwu Aronu
- Derek Arredondo
All providers in Corpus Christi, TX · Diagnostic Radiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.