Individual provider Active NPI

Gang Quan, M.D.

  • Gastroenterology Physician
  • Denton, TX
National Provider Identifier
1962511501
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
L4662 Issued in TX
Practice address
3313 Unicorn Lake Blvd
Suite 152
Denton, TX 76210-0129
Phone
(214) 394-6691
Fax
(940) 898-8247
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X L4662 TX Primary

Addresses

Primary practice location

3313 Unicorn Lake Blvd
Suite 152
Denton, TX 76210-0129

Mailing address

3313 Unicorn Lake Blvd
Suite 152
Denton, TX 76210-0129
Phone (214) 394-6691

Other identifiers 1

IdentifierTypeStateIssuer
151200603MedicaidTX

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
I20040802000745 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 9830169416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3313 Unicorn Lake Blvd
Suite 152
Denton, TX 76210-0127
Phone (940) 898-8245

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy343
Upper gastrointestinal (GI) endoscopy for acid reflux143

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Triangle Gastroenterology, P. a. CurrentSince Jul 29, 2004 Accepting new patients

Locations

3313 Unicorn Lake Blvd
Ste 152
Denton, TX 76210
Phone (214) 394-6691

Interoperability endpoints

  • Direct secure messaging: dmcgquan@yourcarecommunity.org

Organizations & group practices 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962511501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 UNICORN LAKE BLVD",
            "address_2": "SUITE 152",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100129",
            "telephone_number": "214-394-6691",
            "fax_number": "940-898-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 UNICORN LAKE BLVD",
            "address_2": "SUITE 152",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100129",
            "telephone_number": "214-394-6691",
            "fax_number": "940-898-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "GANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L4662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151200603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.