NPIMap

Individual provider Active NPI

Matthew Charles Vandermause, DO

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1790348944
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S8668 Issued in TX
Practice address
600 Elizabeth Street
Gme
Corpus Christi, TX 78404-2235
Phone
(361) 861-1864
NPI assigned
Apr 15, 2019
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S8668 TX Primary

Addresses

Primary practice location

600 Elizabeth Street
Gme
Corpus Christi, TX 78404-2235

Mailing address

600 Elizabeth Street
Gme
Corpus Christi, TX 78404-2235
Phone (361) 861-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001924 TX Practitioner - Emergency Medicine 7416350475 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians
Third Coast Emergency Physicians Southwest PAGroup PAC ID 6800794447, 38 clinicians

Practice addresses (Care Compare)

1311 E Gen Cvazos Blvd
Kingsville, TX 78363-7150
Phone (361) 595-1661

4103 N Loop 1604
San Antonio, TX 78249-1395
Phone (210) 572-8415

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 22, 2021 Accepting new patients
Oleander Emergency Medicine Associates PA Emergency Medicine CurrentSince Aug 2, 2022 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Jun 27, 2023 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

Organizations & group practices 6

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 12

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1790348944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH STREET",
            "address_2": "GME",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "361-861-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH STREET",
            "address_2": "GME",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "361-861-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMAUSE",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S8668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.