NPIMap

Individual provider Active NPI

Garth O Vaz, M.D.

  • Family Medicine Physician
  • Gonzales, TX
National Provider Identifier
1285636647
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J3644 Issued in TX
Practice address
1103 N Sarah Dewitt Dr
1103 N. Sahah Dewitt Drive
Gonzales, TX 78629-3311
Phone
(830) 672-2424
Fax
(866) 622-2180
NPI assigned
Aug 15, 2005
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J3644 TX Primary

Addresses

Primary practice location

1103 N Sarah Dewitt Dr
1103 N. Sahah Dewitt Drive
Gonzales, TX 78629-3311

Mailing address

1103 N Sarah Dewitt Dr
P.O. Box 562
Gonzales, TX 78629-3311
Phone (830) 672-2424

Other identifiers 2

IdentifierTypeStateIssuer
J3644OtherTXSTATE LI
136787211MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061209000029 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3274532817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1003 N Sarah Dewitt Dr
Gonzales, TX 78629-2134
Phone (830) 672-2424

1103 N Sarah Dewitt Dr
Gonzales, TX 78629-3311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as apm
Quality
70.33
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vaz Urgent Care Clinic, PA CurrentSince Mar 14, 2018 Accepting new patients
The Vaz Clinic Family Medicine CurrentSince May 1, 2009 Accepting new patients
Citizens Medical Center County of Victoria PastSince May 1, 2009 Accepting new patients
Texas Emergency Room Services, PA Past Accepting new patients
Leatherland Emergency Physicians PLLC Past Accepting new patients

Locations

1103 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-2424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFIEBD/Endpoint/FFIEBD

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1285636647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N SARAH DEWITT DR",
            "address_2": "P.O. BOX 562",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293311",
            "telephone_number": "830-672-2424",
            "fax_number": "866-622-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N SARAH DEWITT DR",
            "address_2": "1103 N. SAHAH DEWITT DRIVE",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293311",
            "telephone_number": "830-672-2424",
            "fax_number": "866-622-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZ",
        "first_name": "GARTH",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LI",
            "identifier": "J3644",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136787211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, TX

Sources for this page

Verify at the official NPI Registry.