GULF COAST PATHOLOGY ASSOCIATES PLLC – Anatomic Pathology & Clinical Pathology Physician, NPI 1336100858
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GULF COAST PATHOLOGY ASSOCIATES PLLC
PO BOX 947
HOUSTON, TX 770010947
Phone: (832) 355-2942
Fax: (832) 355-4232
Type: Mailing
PO BOX 840127
DALLAS, TX 752840127
Phone: (469) 886-4700
Fax: (214) 871-8609
Type: Mailing
2525 W BELLFORT AVE STE 194
HOUSTON, TX 770545099
Phone: (281) 661-1825
Fax: (214) 871-8609
Type: Location
Baylor St. Luke's Medical Center, 6720, Bertner Avenue, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 77030
Phone: (713) 785-8357
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.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (158 days ago).
Enrollment records
1
Earliest due date
2025-12-31
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 |
|---|---|---|---|---|
| O20041106000086 | O | Clinic/Group Practice | TX | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 77001)
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