GULF COAST MRI & DIAGNOSTICS, INC. – Physiological Laboratory, NPI 1609823822
Physiological Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GULF COAST MRI & DIAGNOSTICS, INC.
3692 E Sam Houston Pkwy S
Pasadena, TX 775053137
Phone: (281) 991-1674
Fax: (281) 991-3800
Type: Location
11034 Scarsdale Blvd Ste A
Houston, TX 770895971
Phone: (281) 481-1935
Fax: (281) 481-1992
Type: Location
830, Gemini Street, Clear Lake City, Houston, Harris County, Texas, 77058, United States
HOUSTON, TX 770582702
Phone: (281) 488-7226
Fax: (281) 488-2077
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: 2024-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1043 days ago).
Enrollment records
3
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20180625000198 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2023-07-31 |
| O20190618002604 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2024-06-30 |
| O20240321001743 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 20,690 | 174 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 19,862 | 291 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 311 | 300 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 303 | 20 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 209 | 200 | $0 |
Insurance plans in this area (ZIP 77505)
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