Individual provider Active NPI

Jegan Gopal, M.D.

  • Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1275747644
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q6509 Issued in TX
Practice address
5826 Esplanade Dr
Suite 102
Corpus Christi, TX 78414-4173
Phone
(361) 500-2898
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2014-00417 NC
Surgery Physician 208600000X Q6509 TX Primary

Addresses

Primary practice location

5826 Esplanade Dr
Suite 102
Corpus Christi, TX 78414-4173

Mailing address

5826 Esplanade Dr
Suite 102
Corpus Christi, TX 78414-4173
Phone (361) 500-2898

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160106000717 TX Practitioner - General Surgery 2860617156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Washington University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians
Better Weigh Center PLLCGroup PAC ID 4183887151, 5 clinicians

Practice addresses (Care Compare)

3315 S Alameda St
Corpus Christi, TX 78411-1820
Phone (361) 761-1000

5826 Esplanade Dr
Suite 102
Corpus Christi, TX 78414-4198
Phone (361) 500-2898

Hospital & facility affiliations

  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014-00417NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Specialty Associates of Texas, PLLC CurrentSince Apr 7, 2023 Accepting new patients
Better Weigh Center PLLC Surgery CurrentSince Dec 23, 2015 Accepting new patients

Locations

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

5826 Esplanade Dr
Ste 102
Corpus Christi, TX 78414
Phone (361) 287-6040

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: betterweighcenter.jegangopal@123191.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1275747644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 ESPLANADE DR",
            "address_2": "SUITE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144173",
            "telephone_number": "361-500-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 ESPLANADE DR",
            "address_2": "SUITE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144173",
            "telephone_number": "361-500-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "JEGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2014-00417",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q6509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.