GASTROENTEROLOGY DIAGNOSTIC CLINIC,
NPI 1538158563
Internal Medicine - Gastroenterology in Pasadena, TX
NPI Status: Active since October 21, 2005
Contact Information
5050 CRENSHAW RD
#200
PASADENA, TX
ZIP 77505
Phone: (281) 998-2488
Fax: (281) 998-2482
- Organization
- Internal Medicine
- Gastroenterology
- Accepts Insurance
- CLIA Number: 45D2184712
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-15-2025
About GASTROENTEROLOGY DIAGNOSTIC CLINIC,
This page provides the complete NPI Profile along with additional information for Gastroenterology Diagnostic Clinic,, an internist established in Pasadena, Texas operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1538158563 assigned on October 2005. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Maurice S Haddad Md (Owner/physician)
- NPI
- 1538158563
- Provider Name
- GASTROENTEROLOGY DIAGNOSTIC CLINIC,
- Entity Type
- Organization
- Location Address
- 5050 CRENSHAW RD #200 PASADENA, TX 77505
- Location Phone
- (281) 998-2488
- Location Fax
- (281) 998-2482
- Mailing Address
- 5050 CRENSHAW RD #200 PASADENA, TX 77505
- Mailing Phone
- (281) 998-2488
- Mailing Fax
- (281) 998-2482
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-21-2005
- Last Update Date
- 10-15-2012
- Code Navigator
An internist like Gastroenterology Diagnostic Clinic, is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 094050401 | MEDICAID (05) | TX | |
| 00U25B | MEDICARE PIN (08) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2184712
- Facility Type
- Physician Office
- Certificate Effective Date
- June 16, 2023
- Certificate Expiration Date
- June 15, 2025
- Laboratory Director
- DR. SAMUEL M. SANTALA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Gastroenterology Diagnostic Clinic, on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for GASTROENTEROLOGY DIAGNOSTIC CLINIC,
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 1 | 5 | 8 | 5 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 2 | 5 | 16 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 2 + 5 + 1 + 6 + 5 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1538158563 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457349847 | HAL B BOONE MD Individual | Family Medicine | 5050 CRENSHAW RD SUITE 100 PASADENA, TX 77505 (281) 487-1000 |
| 1861480204 | SILVIA BOCCARDO-SABATINI MD Individual | Internal Medicine | 5050 CRENSHAW RD STE 100 PASADENA, TX 77505 (281) 487-3840 |
| 1174512131 | MAURICE S HADDAD MD Individual | Internal Medicine (Gastroenterology) | 5050 CRENSHAW RD #200 PASADENA, TX 77505 (281) 998-2488 |
| 1043290703 | MS. SO-FONG WONG FNP, CNS, CDE Individual | Nurse Practitioner (Family) | 5050 CRENSHAW RD STE 100 PASADENA, TX 77505 (281) 487-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538158563, enumerated in the NPI registry as an "organization" on October 21, 2005
The provider is located at 5050 Crenshaw Rd #200 Pasadena, Tx 77505 and the phone number is (281) 998-2488
This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2184712 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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