Gustavo M Padron, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

J1751 Issued in TX

Practice address

755 N 11TH St
Beaumont, TX 77702-1500

Phone

(409) 899-7500

Fax

(985) 646-0750

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Diagnostic Radiology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Texas Imaging LLPGroup PAC ID 3779566906, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Riceland Medical Center Hospital, Winnie, TX, CCN 451328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southeast Texas Imaging LLP

  • Diagnostic Radiology Physician
  • Beaumont, TX
  • NPI 1346205093
  Medicare reassignment Care Compare group
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739
  Medicare reassignment NPD
• North Star FP, LP

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835
  Medicare reassignment NPD
• North Star GV, LP

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1922512664
  Medicare reassignment NPD
• North Star MCD, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1295496602
  Medicare reassignment NPD
• North Star MRI LP

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701
  Medicare reassignment NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759
  Medicare reassignment NPD
• North Star CN, LP

  • Radiology Clinic/Center
  • Carrollton, TX
  • NPI 1013305945
  Medicare reassignment
• North Star FM, LP

  • Radiology Clinic/Center
  • Flower Mound, TX
  • NPI 1174812028
  NPD
• North Star MCD, LLC

  • Radiology Clinic/Center
  • Willow Park, TX
  • NPI 1679834295
  NPD
• North Star MCD, LLC

  • Radiology Clinic/Center
  • Fort Worth, TX
  • NPI 1700550282
  NPD
• North Star Plano Parkway, LP

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1740601863
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Winnie Community Hospital, LLC

  • Critical Access Hospital
  • Winnie, TX
  • NPI 1295781227
  Care Compare affiliation

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1417911090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2409",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062409",
            "telephone_number": "800-550-5606",
            "fax_number": "985-646-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-899-7500",
            "fax_number": "985-646-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Little Jeff Dr",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776514822",
            "country_code": "US",
            "telephone_number": "409-892-7171",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 Calder Street",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021809",
            "country_code": "US",
            "telephone_number": "409-892-7171",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777022216",
            "country_code": "US",
            "telephone_number": "409-838-0346",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 Jimmy Johnson Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "77643",
            "country_code": "US",
            "telephone_number": "409-853-5863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8801 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776428013",
            "country_code": "US",
            "telephone_number": "409-724-3600",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 Medical Center Dr STE 100",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776301410",
            "country_code": "US",
            "telephone_number": "409-792-6500",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Marvin Hancock Dr",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "759514935",
            "country_code": "US",
            "telephone_number": "409-384-5461",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADRON",
        "first_name": "GUSTAVO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J1751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124167102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger Gayle Oulapour, RN
• Andrea Owens, CPNP
• Lakisha Owens
• Tolulope Christiana Owojori, APRN
• Allison Marie Pabich, DO
• Pahhs, Inc
• Paige I, Inc
• Ronald Palang, MD
• Pam Squared at Beaumont, LLC
• Pamela E. Monk, PH.D., P.L.L.C.

• Diagnostic Radiology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.