Individual provider Active NPI

Libardo Jose Taboada, M.D.

  • Anesthesiology Physician
  • Corpus Christi, TX
National Provider Identifier
1427008309
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E6644 Issued in TX
Practice address
6130 Parkway Dr
Corpus Christi, TX 78414-2455
Phone
(361) 853-2200
NPI assigned
May 11, 2006
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E6644 TX Primary

Addresses

Primary practice location

6130 Parkway Dr
Corpus Christi, TX 78414-2455

Mailing address

4455 S Padre Island Dr
Ste 11
Corpus Christi, TX 78411-5163
Phone (361) 883-6211

Other identifiers 4

IdentifierTypeStateIssuer
130603703MedicaidTX
130603706MedicaidTX
81T601OtherTXBCBS
89J441OtherBLUE CROSS BLUE SHIELD

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
I20130131000099 TX Practitioner - Anesthesiology 3072596014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Shore Anesthesia Associates PAGroup PAC ID 3173412806, 17 clinicians

Practice addresses (Care Compare)

6130 Pkwy Dr
Corpus Christi, TX 78414-2455
Phone (361) 993-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6644TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Anesthesia Associates Anesthesiology CurrentSince Aug 21, 2018 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Gulf Shore Anesthesia Associates PA Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients

Locations

4444 Corona Dr
Ste 232
Corpus Christi, TX 78411
Phone (361) 857-8525

4455 S Padre Island Dr
Ste 11
Corpus Christi, TX 78411
Phone (361) 855-8900

5641 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 245-0400

5721 Esplanade Dr
Ste A
Corpus Christi, TX 78414
Phone (361) 334-2625

5734 Spohn Dr
Ste B
Corpus Christi, TX 78414
Phone (361) 653-1125

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

6214 Saratoga Blvd
Bldg 6
Corpus Christi, TX 78414
Phone (361) 452-5460

718 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 882-3204

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1427008309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "STE 11",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115163",
            "telephone_number": "361-883-6211",
            "fax_number": "361-882-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 PARKWAY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142455",
            "telephone_number": "361-853-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOADA",
        "first_name": "LIBARDO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "E6644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130603703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130603706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81T601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89J441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.