Individual provider Active NPI

Gustavo A Gross, MD

  • Family Medicine Physician
  • Seguin, TX
National Provider Identifier
1376582098
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5777 Issued in TX
Practice address
1215 E Court St
Seguin, TX 78155-5129
Phone
(432) 523-3203
Fax
(432) 523-6181
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J5777 TX
Family Medicine Physician 207Q00000X J5777 TX Primary

Addresses

Primary practice location

1215 E Court St
Seguin, TX 78155-5129

Mailing address

705 Rudeloff Rd
Seguin, TX 78155-9226
Phone (325) 728-0004

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
I20041006001346 TX Practitioner - Family PracticePractitioner - Emergency Medicine 7810956745 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.82 of 100Reported as group
Quality
88.02
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Valley Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 22, 2020 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Renaissance Emergency Physicians,PA CurrentSince Sep 1, 2023 Accepting new patients
Department of State Health Services PastSince Nov 1, 2009 Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Permian Physician Services Family Medicine Past Accepting new patients
Western Texas Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Mitchell County Hospital District Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

2073 Ruben Torres SR Blvd
Brownsville, TX 78526
Phone (956) 389-1736

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

1725 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 389-4382

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Organizations & group practices 9

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1376582098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RUDELOFF RD",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781559226",
            "telephone_number": "325-728-0004",
            "fax_number": "512-233-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555129",
            "telephone_number": "432-523-3203",
            "fax_number": "432-523-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "GUSTAVO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J5777",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.