DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC – Internal Medicine Physician, NPI 1194061655
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC
3475 Fannin St
Beaumont, TX 777013807
Phone: (409) 813-1677
Type: Location
3080 College St
Beaumont, TX 777014606
Phone: (409) 212-5000
Type: Location
2200 Highway 365
Nederland, TX 776275506
Phone: (409) 813-1677
Type: Location
860 S 8th St
Beaumont, TX 777014626
Phone: (409) 363-5800
Type: Location
3406 College St Ste 100
Beaumont, TX 777014612
Phone: (409) 813-1677
Type: Location
3406 College St Ste 101
Beaumont, TX 777014612
Phone: (409) 813-1677
Type: Location
3406 College St
SUITE 100
Beaumont, TX 777014612
Phone: (409) 813-1677
Fax: (409) 813-1699
Type: Location
3480 College St
Beaumont, TX 777014612
Phone: (409) 813-1677
Type: Location
288 Country Lane Dr
Lumberton, TX 776576804
Phone: (409) 813-1677
Type: Location
1255 Highway 327 E
Silsbee, TX 776566007
Phone: (409) 813-1677
Type: Location
2353 N Main St
Vidor, TX 776622610
Phone: (409) 813-1677
Type: Location
6480 Delaware St
Beaumont, TX 77706
Phone: (409) 813-1677
Type: Location
3282 College St
Beaumont, TX 777014610
Phone: (409) 813-1677
Type: Location
2830 Calder St
Beaumont, TX 777021809
Phone: (409) 892-7171
Type: Location
3406 COLLEGE ST STE 200
ATTN: CREDENTIALING DEPT
BEAUMONT, TX 777014612
Phone: (409) 813-2332
Fax: (409) 838-7598
Type: Mailing
3406 COLLEGE ST
SUITE 100
BEAUMONT, TX 777014612
Phone: (409) 813-1677
Fax: (409) 813-1699
Type: Location
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: 2013-03-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130328000104 | O | Clinic/Group Practice | TX | TBD |
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.
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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