Individual provider Active NPI

Gabriela Madrigal, PA

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1801300090
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA11610 Issued in TX
Practice address
10058A Long Point Rd
Houston, TX 77055-4002
Phone
(832) 380-3980
Fax
(832) 380-3985
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA11610 TX Primary

Addresses

Primary practice location

10058A Long Point Rd
Houston, TX 77055-4002

Mailing address

10058A Long Point Rd
Houston, TX 77055-4002
Phone (832) 380-3980

Other practice location 1

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Phone (832) 655-4141

Other practice location 2

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Phone (832) 655-4141

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180313000621 TX Practitioner - Physician Assistant 4082976915 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11610TXMDSurgical Physician Assistant

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1801300090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10058A LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554002",
            "telephone_number": "832-380-3980",
            "fax_number": "832-380-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058A LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554002",
            "telephone_number": "832-380-3980",
            "fax_number": "832-380-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sugar Creek Center Blvd Ste 618",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783540",
            "country_code": "US",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Sugar Creek Center Blvd Ste 618",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783540",
            "country_code": "US",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "GABRIELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA11610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.