WOODROME MEDICAL PA – Family Medicine Physician, NPI 1265460919
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for WOODROME MEDICAL PA
Savannah Highway, Neeses, Orangeburg County, South Carolina, 29107, United States
LIVINGSTON, TX 773519600
Phone: (936) 327-9944
Fax: (936) 327-9945
Type: Location
14181 US Highway 190 W
Onalaska, TX 773608091
Phone: (936) 646-7541
Fax: (936) 646-7543
Type: Location
106 W. Main St
Trinity, TX 75862
Phone: (936) 744-0061
Fax: (936) 744-0026
Type: Location
1930 US Highway 190 W
Livingston, TX 773519600
Phone: (936) 327-9944
Fax: (936) 327-9945
Type: Location
613 W Bluff St
Woodville, TX 759795125
Phone: (409) 331-1000
Fax: (409) 331-1003
Type: Location
2306 W Frank Ave Ste A
Lufkin, TX 759043599
Phone: (936) 465-9930
Fax: (936) 899-5950
Type: Location
1321 S Byrd Ave
Shepherd, TX 773713279
Phone: (936) 628-1694
Fax: (936) 628-3109
Type: Location
Livingston Post Office, 1325, West Church Street, Livingston, Polk County, Texas, 77351, United States
LIVINGSTON, TX 773510037
Phone: (936) 327-9944
Fax: (936) 327-9945
Type: Mailing
14006 OLD HIGHWAY 59 N
SPLENDORA, TX 773726302
Phone: (281) 689-6901
Fax: (281) 689-6779
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: 2007-01-12
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 |
|---|---|---|---|---|
| O20070112000216 | 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 77351)
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