Active NPI
Michael Gillespie, M.D.
- Psychiatry Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R0236
- Practice address
- 3250 Fannin St
Beaumont, TX 77701 - Phone
- (409) 212-7000
- NPI assigned
- May 7, 2014
- Last updated
- Jun 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R0236 | TX | Primary |
Addresses
Primary practice location
3250 Fannin St
Beaumont, TX 77701
Mailing address
3250 Fannin St
Beaumont, TX 77701-3903
Phone (409) 212-7000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Texas Medical Branch at Galveston, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3250 Fannin St
Beaumont, TX 77701-3903
Phone (409) 212-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Physician Network | Current | Accepting new patients | |
| Baptist Hospitals of Southeast Texas | Past | Accepting new patients |
Locations
3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300
3080 College St
Beaumont, TX 77701
Phone (409) 212-5000
3250 Fannin St
Beaumont, TX 77701
Phone (409) 212-7000
3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922
Organizations & group practices 2
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.
-
- Specialist
- Beaumont, TX
- NPI 1558485532
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527897600000",
"number": "1912317264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 FANNIN ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013903",
"telephone_number": "409-212-7000",
"fax_number": "409-212-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 FANNIN ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77701",
"telephone_number": "409-212-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-07",
"last_updated": "2018-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "R0236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Nicole Giglio, PT, DPT
- Sam Charles Giglio Jr., DDS
- Gregory Lee Gilbreath, NP
- Gilder Business Group, LLC (King's Legacy Group Home)
- Gillard Worldwide Inc. (Griswold Home Care for Greater Beaumont)
- Kelsie Gilley, APRN
- Gillispie Employment & Training Services
- Gilmore & Gilmore M.D., P.a.
- Brandii Jennifer Gilmore
- William Allen Gilmore II, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.