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CROSSROADS VIROLOGY LLC
NPI 1114755642
Internal Medicine - Infectious Disease in Victoria, TX

Active since July 25, 2024
1403 VICTORIA STATION DR, VICTORIA, TX 77901(361) 571-7956(361) 214-1460 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crossroads Virology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS VIROLOGY LLC (NPI 1114755642) is a healthcare organization registered as an infectious disease in Victoria, Texas and active in the NPI registry since July 2024. The organization lists Paige Ashleigh Boehm, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1114755642
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameCROSSROADS VIROLOGY LLC
Location Address1403 VICTORIA STATION DRVictoria, TX 77901-3092
Mailing Address1403 Victoria Station DrVictoria, TX 77901-3092 · (361) 571-7956 · Fax (361) 214-1460
Phone(361) 571-7956
Fax(361) 214-1460
Organization SubpartNo
Authorized OfficialPaige Ashleigh BoehmClinic Manager · (361) 571-7956
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1114755642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1403 VICTORIA STATION DR, Victoria, TX 77901
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crossroads Virology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crossroads Virology LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Chelsey Taylor
Nurse Practitioner
NPI 1457019929
274 PR 2491
Ganado, TX 77962
(361) 771-6442
✔ PECOS✔ Accepts Medicare31 mi
Thomas Kaspar, M.D.
Internal Medicine
NPI 1205810629
1213 HERMANN DR STE 620
Houston, TX 77004
(713) 520-6360
✔ PECOS✔ Accepts Medicare115 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Crossroads Virology LLC's NPI number?

The NPI number for Crossroads Virology LLC is 1114755642. It was assigned to this organization in the NPPES registry on July 25, 2024.

Where is Crossroads Virology LLC located?

Crossroads Virology LLC is located at 1403 Victoria Station Dr, Victoria, TX 77901. The listed phone number is (361) 571-7956.

What is Crossroads Virology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Crossroads Virology LLC enrolled in Medicare?

Yes. Crossroads Virology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crossroads Virology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Crossroads Virology LLC, in Internal Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Crossroads Virology LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Crossroads Virology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crossroads Virology LLC was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.