Individual provider Active NPI

Steven M Gadol, MD PA

  • Gastroenterology Physician
  • Richardson, TX
National Provider Identifier
1649356346
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J2945 Issued in TX
Practice address
399 W Campbell Rd
# 202
Richardson, TX 75080-3606
Phone
(972) 498-4401
Fax
(972) 498-4407
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X J2945 TX Primary

Addresses

Primary practice location

399 W Campbell Rd
# 202
Richardson, TX 75080-3606

Mailing address

399 W Campbell Rd
# 202
Richardson, TX 75080-3606
Phone (972) 498-4401

Other identifiers 1

IdentifierTypeStateIssuer
115828903MedicaidTX

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
I20100831000175 TX Practitioner - Gastroenterology 4880668375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Texas Southwestern Medical School at Dallas, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven M Gadol MD PAGroup PAC ID 6800910654, 4 clinicians

Practice addresses (Care Compare)

399 W Campbell Rd
Suite 202
Richardson, TX 75080-3606
Phone (972) 498-4401

Hospital & facility affiliations

  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537

Merit-based Incentive Payment System (MIPS)

Final score
21.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy220
Upper gastrointestinal (GI) endoscopy for acid reflux108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steven M Gadol MD PA Gastroenterology CurrentSince May 3, 2010 Accepting new patients
Baylor Surgicare at Plano, LLC PastSince Oct 1, 2007 Accepting new patients

Locations

399 W Campbell Rd
Ste 202
Richardson, TX 75080
Phone (972) 463-9051

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 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1649356346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD",
            "address_2": "# 202",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803606",
            "telephone_number": "972-498-4401",
            "fax_number": "972-498-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD",
            "address_2": "# 202",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803606",
            "telephone_number": "972-498-4401",
            "fax_number": "972-498-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOL",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J2945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115828903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.