Diagnostic Group Integrated Healthcare System PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC

Practice address

3406 College St Ste 200
Beaumont, TX 77701-4612

Phone

(409) 813-1677

Fax

(409) 838-7598

NPI assigned

Jan 2, 2013

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Ruiz

Title

Administrator

Phone

(409) 813-1677

Specialties & licenses 13

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Diagnostic Group IHS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diagnostic Group IHS

  • Primary Care Clinic/Center
  • Nederland, TX
  • NPI 1427413723
  NPD tax ID

Locations

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adham Fares Abdulamir, MD

  • Hospitalist Physician
  • Beaumont, TX
  • NPI 1730677907

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Prospero V Arante, MD

  • Family Medicine Physician
  • Nederland, TX
  • NPI 1649272857
  Medicare reassignment Care Compare group NPD
• Qamar U Arfeen, M.D.

  • Pulmonary Disease Physician
  • Beaumont, TX
  • NPI 1295738649

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Jenna Nicole Berg

  • Family Nurse Practitioner
  • Vidor, TX
  • NPI 1881568525
  Medicare reassignment Care Compare group NPD
• Douglas Andrew Curry, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1134737133
  Medicare reassignment Care Compare group NPD
• Shahean Fayaz, NP

  • Family Nurse Practitioner
  • Lumberton, TX
  • NPI 1255788170
  Medicare reassignment Care Compare group NPD
• Jillian Beth Fleisher, D.O.

  • Surgery Physician
  • Beaumont, TX
  • NPI 1437598745
  Medicare reassignment Care Compare group NPD
• Jordan Nicole Fountain, NP

  • Family Nurse Practitioner
  • Lumberton, TX
  • NPI 1518795582
  Medicare reassignment Care Compare group NPD
• Nicole Hancock, M.D.

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1336433200
  Medicare reassignment Care Compare group NPD
• Haylee Hatch

  • Family Nurse Practitioner
  • Silsbee, TX
  • NPI 1972477610
  Medicare reassignment Care Compare group NPD
• Juan B Iribarren, MD

  • Pulmonary Disease Physician
  • Beaumont, TX
  • NPI 1720283336

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Syed Muhammad Ali Ahmed Jilani, MD

  • Internal Medicine Physician
  • Vidor, TX
  • NPI 1992383608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1194061655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "address_2": "ATTN: CREDENTIALING DEPT",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-2332",
            "fax_number": "409-838-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677",
            "fax_number": "409-838-7598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 Country Lane Dr",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "TX",
            "postal_code": "776576804",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014626",
            "country_code": "US",
            "telephone_number": "409-363-5800",
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3080 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014606",
            "country_code": "US",
            "telephone_number": "409-212-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3475 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777013807",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3282 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014610",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6480 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "77706",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2353 N Main St",
            "address_purpose": "LOCATION",
            "city": "Vidor",
            "state": "TX",
            "postal_code": "776622610",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Highway 327 E",
            "address_purpose": "LOCATION",
            "city": "Silsbee",
            "state": "TX",
            "postal_code": "776566007",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Highway 365",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "TX",
            "postal_code": "776275506",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3480 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3406 College St",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "fax_number": "409-813-1699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3406 College St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3406 College St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-813-1677"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Boudoin Deville, NP
• Cassandra Covington Dewall, M.ED, LPC
• Gurpartap Dhillon, OD
• Diagnostic & Internal Medicine Clinic PA
• Diagnostic Group Imaging PLLC
• Diagnostic Group of Southeast Texas LLC
• Diagnostic Health Centers of Texas, Limited Partnership (Diagnostic Health Beaumont)
• Diagnostic Pathology Associates, LLP
• Diagnostic Pathology Associates, LLP
• Sandra Waddell Dial-Cruse, RMT, RFM, CLT

• Internal Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.