Individual provider Active NPI

Mehmet Gurgun, M.D.

  • Specialist
  • Beaumont, TX
National Provider Identifier
1295730620
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H8695 Issued in TX
Practice address
3560 Delaware St
209
Beaumont, TX 77706-3059
Phone
(409) 899-3682
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H8695 TX Primary

Addresses

Primary practice location

3560 Delaware St
209
Beaumont, TX 77706-3059

Mailing address

3560 Delaware St
209
Beaumont, TX 77706-3059
Phone (409) 899-3682

Other identifiers 1

IdentifierTypeStateIssuer
132338802MedicaidTX

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
I20110822000213 TX Practitioner - Diagnostic Radiology 2668642042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Andrews and Davis PTR 47 clinicians

Practice addresses (Care Compare)

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8695TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Andrews & Davis PTR CurrentSince Jan 25, 1991 Accepting new patients
Jasper Radiology Associates PC Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3560 Delaware St
Ste 209
Beaumont, TX 77706
Phone (409) 239-0971

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 3

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1295730620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "209",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063059",
            "telephone_number": "409-899-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "209",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063059",
            "telephone_number": "409-899-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGUN",
        "first_name": "MEHMET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H8695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132338802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.