Gordon E Crofoot Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E9592 Issued in TX

Practice address

3701 Kirby Dr Ste 1230
Houston, TX 77098-3916

Phone

(713) 526-0005

Fax

(855) 802-2503

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Northwestern University Feinberg Medical School, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gordon E. Crofoot M.D., P.a.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1588655435
  Medicare reassignment NPD Authorized official
• Crofootmd Clinic PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1023983095
  NPD Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1730381005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR",
            "address_2": "SUITE 1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983900",
            "telephone_number": "713-526-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR STE 1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983916",
            "telephone_number": "713-526-0005",
            "fax_number": "855-802-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFOOT",
        "first_name": "GORDON",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E9592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115207604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Crockett, BCBA, LBA
• Sharika Joyce Crockett, PTA
• Renee L Crockford
• Jennifer Croden, MD
• Magi A Crofcheck, DDS
• Crofootmd Clinic PLLC
• Jennifer Croft
• Rodney Morris Croft, D.P.M.
• Jay Sawyer Croley, M.D.
• Crom Rehabilitation, LLC

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.

Verify at the official NPI Registry.