Individual provider Active NPI

Gary Alan Debakey, M.D.

  • Gynecology Physician
  • Jersey Village, TX
National Provider Identifier
1770663254
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G3282 Issued in TX
Practice address
17376 Northwest Fwy
Jersey Village, TX 77040-1114
Phone
(832) 919-8445
Fax
(832) 919-8446
NPI assigned
Oct 17, 2006
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G3282 TX Primary
Pain Medicine Physician 208VP0000X G3282 TX

Addresses

Primary practice location

17376 Northwest Fwy
Jersey Village, TX 77040-1114

Mailing address

17376 Northwest Fwy
Jersey Village, TX 77040-1114
Phone (329) 198-4458

Other identifiers 1

IdentifierTypeStateIssuer
035419302MedicaidTX

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
I20040617001750 TX Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Pain Management 7113900747 Reassigns benefits to 5 organizations
Practice locations: Pinehurst, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pain Management
Education
University of Texas Medical School at Houston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Faith LLCGroup PAC ID 9032512900, 10 clinicians

Practice addresses (Care Compare)

1015 Gibbins Rd
Suite a
Arlington, TX 76011-5615
Phone (972) 734-5400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Faith LLC CurrentSince Jul 1, 2021 Accepting new patients
George T. Kuhn, M.D. P.a. CurrentSince Jan 1, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2021 Accepting new patients
St. Elizabeth Physician Group, PLLC CurrentSince Aug 19, 2020 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Woodlands Health Group, PLLC CurrentSince Jan 12, 2020 Accepting new patients
Kumock PLLC CurrentSince Nov 5, 2023 Accepting new patients
Galleria Pain Physicians PLLC Pain Medicine CurrentSince Jun 1, 2022 Accepting new patients

Locations

1015 Gibbins Rd
Ste A
Arlington, TX 76011
Phone (972) 734-5400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571

1315 St Joseph Pkwy
Ste 1818
Houston, TX 77002
Phone (713) 654-8128

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

17376 Northwest Fwy
Jersey Village, TX 77040
Phone (713) 466-0197

1009 S Broadway St
La Porte, TX 77571
Phone (281) 941-4174

24624 Interstate 45 N
Ste 125
Spring, TX 77386
Phone (832) 688-6111

251 W Medical Center Blvd
Webster, TX 77598
Phone (281) 332-2496

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1770663254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17376 NORTHWEST FWY",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401114",
            "telephone_number": "329-198-4458",
            "fax_number": "329-198-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17376 NORTHWEST FWY",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401114",
            "telephone_number": "832-919-8445",
            "fax_number": "832-919-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAKEY",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "G3282",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "G3282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035419302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

Verify at the official NPI Registry.