K PAUL GERSTENBERG, D O, P A
NPI 1104824507
Family Medicine in Port Neches, TX
About K Paul Gerstenberg, D O, P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
K PAUL GERSTENBERG, D O, P A (NPI 1104824507) is a healthcare organization registered as a family medicine in Port Neches, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through March 13, 2027, maintains a secondary practice location in Port Neches, and lists Kandice Varela, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
K Paul Gerstenberg, D O, P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by December 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to K Paul Gerstenberg, D O, P A, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1010477
K Paul Gerstenberg, Do PA · Port Neches, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is K Paul Gerstenberg, D O, P A's NPI number?
The NPI number for K Paul Gerstenberg, D O, P A is 1104824507. It was assigned to this organization in the NPPES registry on July 8, 2005.
Where is K Paul Gerstenberg, D O, P A located?
K Paul Gerstenberg, D O, P A is located at 2645 Nall St, Port Neches, TX 77651. The listed phone number is (409) 210-3336.
What is K Paul Gerstenberg, D O, P A's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is K Paul Gerstenberg, D O, P A enrolled in Medicare?
Yes. K Paul Gerstenberg, D O, P A is registered in the Medicare PECOS enrollment system.
When is K Paul Gerstenberg, D O, P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), K Paul Gerstenberg, D O, P A holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (DME, Texas, Physician - Family Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through K Paul Gerstenberg, D O, P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to K Paul Gerstenberg, D O, P A, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does K Paul Gerstenberg, D O, P A hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1010477) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for K Paul Gerstenberg, D O, P A was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# K Paul Gerstenberg, D O, P A · NPI 1104824507
Family Medicine organization in Port Neches, Texas. Organization record, active in the CMS NPPES registry since July 8, 2005.
## Identity
- **NPI:** 1104824507 (Entity type: Organization)
- **Enumerated:** July 8, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** K Paul Gerstenberg, D O, P A (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kandice Varela, OFFICE MANAGER
## Practice location
- **Address:** 2645 NALL ST, Port Neches, TX 77651
- **Phone:** (409) 210-3336 · **Fax:** (409) 527-3969
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, Texas, Physician - Family Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2025
- **Other identifiers:** Medicaid 167215601 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104824507) · Data from the CMS NPPES public registry.