DR. GWENDOLYN L LAVALAIS (M.D.) – Medical Oncology Physician, NPI 1396729711

DR. GWENDOLYN L LAVALAIS (M.D.) is a healthcare provider. based in Beaumont, Texas. specializing in Medical Oncology Physician. They hold the professional credentials M.D.. They hold a License No. M0468 (TX). The NPI Number for DR. GWENDOLYN L LAVALAIS (M.D.) is 1396729711

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. GWENDOLYN L LAVALAIS (M.D.)
NPI
1396729711
Phone
(409) 212-5930
Address
3555 STAGG DR
Enumeration Date
30 November 2005
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
4098982994
Graduation Year
1999 (27 years ago)
PAC ID
1153347786
Group Practice PAC ID
9032195789
Professional Enrollment ID
I20051024000896
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GWENDOLYN L LAVALAIS (M.D.)

  • 3555, Stagg Drive, Gateway Shopping Center, Beaumont, Jefferson County, Texas, 77701, United States

    BEAUMONT, TX 777014509

    Phone: (409) 212-5930

    Fax: (409) 212-5931

    Type: Mailing

  • 2450 N MAJOR DR

    BEAUMONT, TX 777139575

    Phone: (409) 981-1800

    Fax: (409) 981-1890

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051024000896IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032195789View full group profile
NameSpecialtyState
-TX
Internal MedicineTX
Family Practice, Hospice/Palliative CareTX
Family PracticeTX
-TX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Internal MedicineTX
Physician AssistantTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. GWENDOLYN L LAVALAIS (M.D.)?
NPI 1396729711 is assigned to DR. GWENDOLYN L LAVALAIS (M.D.) under the national enumeration system.
Does this profile mean DR. GWENDOLYN L LAVALAIS (M.D.) is currently active?
Yes — DR. GWENDOLYN L LAVALAIS (M.D.) appears active in the national provider directory.
What does DR. GWENDOLYN L LAVALAIS (M.D.) treat or focus on?
Patients typically see DR. GWENDOLYN L LAVALAIS (M.D.) under the specialty Medical Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. GWENDOLYN L LAVALAIS (M.D.)'s primary listing?
We display Beaumont, Texas because that is what the record indicates for DR. GWENDOLYN L LAVALAIS (M.D.).
Is DR. GWENDOLYN L LAVALAIS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1396729711. Always confirm identity and privileges with the practice and licensing boards.

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