Active NPI
John G. Gancayco, M.D.
- Gastroenterology Physician
- Jbsa Ft Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R1954
- Practice address
- 3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234 - Phone
- (210) 916-2338
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101241245 | VA | |
| Internal Medicine Physician | 207R00000X | 0101241245 | VA | |
| Gastroenterology Physician | 207RG0100X | R1954 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (210) 916-4367
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375517503 | Other | TX | CSHCN |
| 375517502 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4370 Medical Arts Dr
Suite 295
Flower Mound, TX 75028-1742
Phone (972) 691-3777
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 104 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Internal Medicine | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Texas Digestive Disease Consultants PLLC | Gastroenterology | Current | Accepting new patients |
Locations
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
2835 Fort Missoula Rd
Ste 204
Missoula, MT 59804
Phone (406) 327-3935
4370 Medical Arts Dr
Ste 295
Flower Mound, TX 75028
Phone (972) 691-3777
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
12850 Toepperwein Rd
Live Oak, TX 78233
Phone 2106141234713
5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
2130 NE Loop 410
Ste 250
San Antonio, TX 78217
Phone (210) 305-0420
903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- Specialist
- Missoula, MT
- NPI 1376946913
-
- Gastroenterology Physician
- Flower Mound, TX
- NPI 1689650475
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
-
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1609089390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANCAYCO",
"first_name": "JOHN",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101241245",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101241245",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "R1954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "375517503",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375517502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Ft Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.