Gastromedconnect, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROMEDCONNECT, PLLC

Practice address

115 Kohlers Crossing Ste 455
Kyle, TX 78640-2464

Phone

(512) 454-5911

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Sami Adib, MDNPI 1548502412

Title

MD/Owner

Phone

(512) 454-5911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sami N Adib, MD

  • Gastroenterology Physician
  • Kyle, TX
  • NPI 1548502412
  Medicare reassignment NPD Authorized official
• Rolando Santiago Jr., APRN

  • Family Nurse Practitioner
  • San Marcos, TX
  • NPI 1407680515
  NPD
• Hisham Khan

  • Pain Medicine (Anesthesiology) Physician
  • San Marcos, TX
  • NPI 1366881815

  Single Specialty

  NPD (past)
• Rahul Sarna, M.D.

  • Interventional Pain Medicine Physician
  • San Marcos, TX
  • NPI 1184987174
  NPD (past)
• Derrick Wansom, MD

  • Pain Medicine (Anesthesiology) Physician
  • San Marcos, TX
  • NPI 1306124912
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1639852189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KOHLERS CROSSING",
            "address_2": "STE 455",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KOHLERS CROSSING STE 455",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402464",
            "telephone_number": "512-454-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROMEDCONNECT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "ADIB",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "512-454-5911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Garcia
• Rachel Gardner, MD
• Gary L Gilcrease MD, PA
• Ingrid Dariela Garza Moyeda
• Gloria Garza
• Steven Wayne Gay Jr., ANP
• Marshall Alexander George, PHARMD
• Angela Michelle Gibson, DO
• Kaitlyn M Gibson
• Kessa Dannette Giles, PHARMD

• Gastroenterology Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.