Individual provider Active NPI

Janna Kate Nunez-Gussman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Beaumont, TX
National Provider Identifier
1831215094
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
L7504 Issued in TX
Practice address
3070 College St
Suite 208
Beaumont, TX 77701
Phone
(409) 835-1333
Fax
(409) 835-2629
NPI assigned
Mar 21, 2007
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X L7504 TX Primary

Addresses

Primary practice location

3070 College St
Suite 208
Beaumont, TX 77701

Mailing address

3070 College St
Suite 208
Beaumont, TX 77701-4691
Phone (409) 835-1333

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
I20040611000560 TX Practitioner - Dermatology 2163405903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Edward Collins MD PAGroup PAC ID 3577620897, 2 clinicians

Practice addresses (Care Compare)

3070 College St
Suite 208
Beaumont, TX 77701-4688
Phone (409) 835-1333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.17 of 100Reported as individual
Quality
96.67
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision161
Removal of skin lesions683
Removal of skin cancer305
Removal or shaving of skin growth320
Skin biopsy23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
W Edward Collins MD PA CurrentSince May 18, 2009 Accepting new patients
Jana K Nunez-Gussman MD PA Past Accepting new patients
Weldon E Collins MD Past Accepting new patients

Locations

2929 Calder St
Ste 312
Beaumont, TX 77702
Phone (409) 835-1333

3070 College St
Ste 208
Beaumont, TX 77701
Phone (409) 835-1333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1831215094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST",
            "address_2": "SUITE 208",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014691",
            "telephone_number": "409-835-1333",
            "fax_number": "409-835-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST",
            "address_2": "SUITE 208",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-835-1333",
            "fax_number": "409-835-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ-GUSSMAN",
        "first_name": "JANNA",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "L7504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.