SOUTHEAST TEXAS IMAGING LLP – Diagnostic Radiology Physician, NPI 1346205093
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTHEAST TEXAS IMAGING LLP
1323 S 27TH ST STE 700
NEDERLAND, TX 776276290
Phone: (097) 295-4004
Fax: (409) 729-4850
Type: Mailing
709 Little Jeff Dr
Port Neches, TX 776514822
Phone: (409) 729-5400
Fax: (409) 729-4850
Type: Location
1275 Marvin Hancock Dr
Jasper, TX 759514935
Phone: (409) 384-5461
Type: Location
6901 Medical Center Dr Ste 100
Orange, TX 776301410
Phone: (409) 792-6500
Type: Location
8801 9th Ave
Port Arthur, TX 776428013
Phone: (409) 724-3600
Type: Location
3650 Laurel St
Beaumont, TX 777072216
Phone: (409) 838-0346
Type: Location
755 N 11th St
Beaumont, TX 777021500
Phone: (409) 899-7500
Type: Location
709 LITTLE JEFF DR
PORT NECHES, TX 776514822
Phone: (409) 729-5400
Fax: (409) 729-4850
Type: Mailing
2830 CALDER ST
BEAUMONT, TX 777021809
Phone: (409) 892-7171
Type: Location
The Medical Center of Southeast Texas, 2555, Jimmy Johnson Boulevard, Port Arthur, Jefferson County, Texas, 77640, United States
PORT ARTHUR, TX 77643
Phone: (409) 853-5863
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: 2024-01-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
11
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20040609001101 | O | Clinic/Group Practice | TX | TBD |
| O20170906001972 | O | Clinic/Group Practice | CA | 2023-09-30 |
| O20230222001043 | O | Clinic/Group Practice | UT | TBD |
| O20230222001391 | O | Clinic/Group Practice | AZ | TBD |
| O20230308001287 | O | Clinic/Group Practice | FL | TBD |
| O20230315001403 | O | Clinic/Group Practice | IA | TBD |
| O20230317001411 | O | Clinic/Group Practice | KS | TBD |
| O20230705001887 | O | Clinic/Group Practice | NH | TBD |
| O20231030000053 | O | Clinic/Group Practice | PA | TBD |
| O20231128000947 | O | Clinic/Group Practice | MI | TBD |
| O20240111003877 | O | Clinic/Group Practice | IL | TBD |
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 77627)
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