NPIMap

Organization Active NPI

Corpus Christi Urology Group PLLC

  • Urology Physician
  • Corpus Christi, TX
National Provider Identifier
1821043993
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CORPUS CHRISTI UROLOGY GROUP PLLC
Practice address
601 Texan TRL
Ste 100
Corpus Christi, TX 78411-2547
Phone
(361) 884-6381
Fax
(361) 882-7716
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
K Ann Hatch Jr., MD
Title
Administrator
Phone
(361) 884-6381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

601 Texan TRL
Ste 100
Corpus Christi, TX 78411-2547

Mailing address

601 Texan TRL
Ste 100
Corpus Christi, TX 78411-2547
Phone (361) 884-6381

Other identifiers 1

IdentifierTypeStateIssuer
083317002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050118000922 TX Part B Supplier - Clinic/Group Practice 0749239655 Receives reassigned benefits from 12 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

1205 S 19th St
#A
Corpus Christi, TX 78405
Phone (361) 561-4193

5134 Carroll Ln
Corpus Christi, TX 78415
Phone (361) 884-6381

Interoperability endpoints

  • Direct secure messaging: jasonfisher@ccug.medalliesdirect.net
  • Direct secure messaging: rachelroberge@ccug.medalliesdirect.net
  • Direct secure messaging: christisimpson@ccug.medalliesdirect.net
  • Direct secure messaging: cameronghaffary@ccug.medalliesdirect.net
  • Direct secure messaging: norbertbrehm@ccug.medalliesdirect.net
  • Direct secure messaging: jesusrivero@ccug.medalliesdirect.net
  • Direct secure messaging: alannisbet@ccug.medalliesdirect.net
  • Direct secure messaging: markcoates@ccug.medalliesdirect.net
  • Direct secure messaging: robertmay@ccug.medalliesdirect.net
  • Direct secure messaging: robertnaismith@ccug.medalliesdirect.net
  • Direct secure messaging: juliedavidson@ccug.medalliesdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1821043993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL",
            "address_2": "STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112547",
            "telephone_number": "361-884-6381",
            "fax_number": "361-882-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL",
            "address_2": "STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112547",
            "telephone_number": "361-884-6381",
            "fax_number": "361-882-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI UROLOGY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "K",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-884-6381",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083317002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.