Active NPI
Anil Gungor, MD
- Otolaryngology Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- N3062
- Practice address
- 3533 S Alameda St Ste 501
Corpus Christi, TX 78411-1721 - Phone
- (361) 694-5778
- Fax
- (361) 808-2197
- NPI assigned
- Sep 23, 2008
- Last updated
- Mar 7, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 204879 | LA | |
| Otolaryngology Physician | 207Y00000X | N3062 | TX | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | 42262 | TX | |
| Otolaryngic Allergy Physician | 207YX0602X | 42262 | TX |
Addresses
Primary practice location
3533 S Alameda St Ste 501
Corpus Christi, TX 78411-1721
Mailing address
3533 S Alameda St Ste 501
Corpus Christi, TX 78411-1721
Phone (361) 694-5778
Other practice location 1
1501 Kings Hwy
Department of Otolanyngology
Shreveport, LA 71103-4228
Phone (318) 813-2690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42262 | TX | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Otolaryngology | Current | Accepting new patients |
| Children's Physician Services of South Texas | Past | Accepting new patients |
Locations
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
463 Ashley Ridge Blvd
Ste 100
Shreveport, LA 71106
Phone (318) 221-3585
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Otolaryngology
-
dba Plastic Reconstructive Surgical Services of South Texas
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
dba Children's Radiology Services of South Texas
- Diagnostic Radiology Physician
- Corpus Christi, TX
- NPI 1598737124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255581518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST STE 501",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "361-694-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST STE 501",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "361-694-5778",
"fax_number": "361-808-2197"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_2": "Department of Otolanyngology",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-813-2690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNGOR",
"first_name": "ANIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "204879",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "N3062",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "TX",
"license": "42262",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "TX",
"license": "42262",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
- Gulf Coast Rehabilitative Services, Inc
- Gulf Shore Anesthesia Associates PA (Gulf Shore Anesthesia Associates)
- Gulfshore Services Inc
- Donald Stephens Gullett II, MS LPC
- Seth Ryan Gundersen
- Richard Benton Gunnoe Sr., RPH.
- Jie Guo, M.D.
- Sunil K Gupta, MD
- Narasimha Naidu Guriginjakunta, MD
- Gregory M Guthrie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.