Individual provider Active NPI

Gilberto Jimenez-Justiniano, M.D.

  • Hematology & Oncology Physician
  • Irving, TX
National Provider Identifier
1619933504
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
15368 Issued in PR
Practice address
2021 N Macarthur Blvd Ste 400
Irving, TX 75061-2226
Phone
(972) 256-3537
Fax
(722) 255-7916
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15368 PR
Hematology & Oncology Physician 207RH0003X 15368 PR Primary

Addresses

Primary practice location

2021 N Macarthur Blvd Ste 400
Irving, TX 75061-2226

Mailing address

3001 E President George Bush Hwy Ste 100
Richardson, TX 75082-3542
Phone (972) 997-8180

Other practice location 1

1501 W Royal Ln
Irving, TX 75063-3213
Phone (469) 513-5500

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
I20081215000491 TX Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 4789602996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1600 W College St
Suite 440
Grapevine, TX 76051-3584
Phone (817) 865-6200

Hospital & facility affiliations

  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15368PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Hematology & Oncology CurrentSince Apr 1, 2020 Accepting new patients
Texas Oncology PA Hematology & Oncology Current Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Apr 1, 2020 Accepting new patients
Craig B. Mizes, M.D., P.a. Past Accepting new patients

Locations

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

1600 W College St
Ste 440
Grapevine, TX 76051
Phone (817) 481-9480

2021 N MacArthur Blvd
Ste 400
Irving, TX 75061
Phone (972) 253-3751

1501 W Royal Ln
Irving, TX 75063
Phone (469) 513-5500

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3001 George Bush Hwy
Ste 100
Richardson, TX 75082
Phone (972) 994-5411

Interoperability endpoints

  • Direct secure messaging: dmcgjimen@yourcarecommunity.org
  • Direct secure messaging: gilberto.jimenez-justiniano@txo.ikm.direct-ci.com

Organizations & group practices 4

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 2

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1619933504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823542",
            "telephone_number": "972-997-8180",
            "fax_number": "832-601-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612226",
            "telephone_number": "972-256-3537",
            "fax_number": "722-255-7916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 W Royal Ln",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633213",
            "country_code": "US",
            "telephone_number": "469-513-5500",
            "fax_number": "469-420-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ-JUSTINIANO",
        "first_name": "GILBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15368",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "15368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.