Individual provider Active NPI

Ann Kathleen Noblejas Gamilla-Crudo, MD

  • Nephrology Physician
  • Galveston, TX
National Provider Identifier
1982808549
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M8660 Issued in TX
Practice address
301 University Blvd
4.200 John Sealy Annex
Galveston, TX 77555-0562
Phone
(409) 772-1811
Fax
(409) 772-5052
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M8660 TX Primary
Nephrology Physician 207RN0300X BP1-0026290 TX

Addresses

Primary practice location

301 University Blvd
4.200 John Sealy Annex
Galveston, TX 77555-0562

Mailing address

3433 Cove View Blvd
#2308
Galveston, TX 77554-8175
Phone (409) 877-2814

Other identifiers 1

IdentifierTypeStateIssuer
3847415795OtherMYUTMB 3847415795-COMMERCIAL NUMBER

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
I20080625000083 TX Practitioner - NephrologyPractitioner - Internal Medicine 4880765494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

109 E Toronto Ave
Suite 300
McAllen, TX 78503-1200
Phone (409) 772-2222

200 Blossom St
Webster, TX 77598-4204

2240 Gulf Fwy S
League City, TX 77573-5143

2280 Gulf Fwy S
League City, TX 77573-5143

250 Blossom St
Webster, TX 77598-4204

2660 Gulf Fwy S
League City, TX 77573-6820

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

511 Park Grove Dr
Katy, TX 77450-1759
Phone (281) 398-7001

PO Box
650859 Dept 710
Dallas, TX 75265-0859

Hospital & facility affiliations

  • DaVita Mainland Dialysis Dialysis facility, La Marque, TX, CCN 452635
  • DaVita Island Dialysis Dialysis facility, Galveston, TX, CCN 452520
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0026290TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Oct 8, 2025 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
Fl 6
Galveston, TX 77555

301 University Blvd
#4200
Galveston, TX 77555
Phone (409) 772-1811

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

2240 Gulf Fwy S
Ste 2100
League City, TX 77573
Phone (832) 505-1600

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Interoperability endpoints

  • Direct secure messaging: agamillacrudomd1836@direct.utmb.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1982808549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 COVE VIEW BLVD",
            "address_2": "#2308",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775548175",
            "telephone_number": "409-877-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "4.200 JOHN SEALY ANNEX",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550562",
            "telephone_number": "409-772-1811",
            "fax_number": "409-772-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMILLA-CRUDO",
        "first_name": "ANN KATHLEEN",
        "middle_name": "NOBLEJAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M8660",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "BP1-0026290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3847415795-COMMERCIAL NUMBER",
            "identifier": "3847415795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.