NPIMap

Individual provider Active NPI

Gregory Lee Eads, MD

  • Obstetrics & Gynecology Physician
  • The Woodlands, TX
National Provider Identifier
1609803006
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M4048 Issued in TX
Practice address
1120 Medical Plaza Dr
Suite 200
The Woodlands, TX 77380-3242
Phone
(832) 813-0979
Fax
(832) 813-0984
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101049545 VA
Obstetrics & Gynecology Physician 207V00000X M4048 TX Primary

Addresses

Primary practice location

1120 Medical Plaza Dr
Suite 200
The Woodlands, TX 77380-3242

Mailing address

1120 Medical Plaza Dr
Suite 200
The Woodlands, TX 77380-3242
Phone (832) 813-0979

Other identifiers 4

IdentifierTypeStateIssuer
0092612000MedicaidWV
184714701MedicaidTX
006231250MedicaidVA
P00385879OtherTXMEDICARE RAILROAD PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070302000042 TX Practitioner - Obstetrics/Gynecology 4284736786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1120 Medical Plaza Dr
Suite 200
Shenandoah, TX 77380-3253
Phone (832) 813-0979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101049545VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Centre for Well Being PA CurrentSince Jan 1, 2007 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince May 6, 2016 Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1120 Medical Plaza Dr
Ste 200
Shenandoah, TX 77380
Phone (832) 813-0979

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1609803006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR",
            "address_2": "SUITE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803242",
            "telephone_number": "832-813-0979",
            "fax_number": "832-813-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR",
            "address_2": "SUITE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803242",
            "telephone_number": "832-813-0979",
            "fax_number": "832-813-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADS",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101049545",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M4048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092612000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184714701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006231250",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00385879",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.