Individual provider Active NPI

Abel Garduno Jr., M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1336184787
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5299 Issued in TX
Practice address
5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024
Phone
(972) 599-9600
Fax
(972) 599-9696
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 K5299 TX Primary

Addresses

Primary practice location

5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024

Mailing address

5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024
Phone (972) 599-9600

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
I20080415000247 TX Practitioner - Family Practice 9830277938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9925 Gillespie Dr
Suite 1300
Plano, TX 75025-1100
Phone (469) 871-0265

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5299TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Village Health Partners, PA Family Medicine CurrentSince Aug 13, 2007 Accepting new patients
Catalyst Physician Group - NTX, PLLC Family Medicine PastSince Jul 24, 2022 Accepting new patients

Locations

5655 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 566-9600

5655 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

5425 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336184787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 WEST SPRING CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 WEST SPRING CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDUNO",
        "first_name": "ABEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.