Active NPI
Gilberto Jimenez-Justiniano, M.D.
- Hematology & Oncology Physician
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 15368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15368 | PR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | 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
- dmcgjimen@yourcarecommunity.org
- 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.
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1831104512
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.