GINA PAOLA NIETO DUARTE M.D.
NPI 1124428784
Pediatrics - Pediatric Nephrology in Galveston, TX
About Gina Paola Nieto Duarte M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA PAOLA NIETO DUARTE M.D. (NPI 1124428784) is an individual pediatric nephrology provider in Galveston, Texas, licensed in Texas (S7299) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gina Paola Nieto Duarte M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Gina Nieto Duarte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 clinicians in this Medicare group
Houston, TX 77025
- Reassigned Medicare billing, Texas enrollment
- 1,649 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GALVESTON, TX 77555
GALVESTON, TX 77555
GALVESTON, TX 77555
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 Gina Nieto Duarte's NPI number?
The NPI number for Gina Nieto Duarte is 1124428784. It was assigned to this individual provider in the NPPES registry on September 1, 2014. The provider is also known as Gina Paola Nieto Duarte M.D..
Where is Gina Nieto Duarte located?
Gina Nieto Duarte practices at 400 Harborside Dr Ste 103, Galveston, TX 77555. The listed phone number is (409) 266-9242.
What is Gina Nieto Duarte's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Gina Nieto Duarte enrolled in Medicare?
Yes. Gina Nieto Duarte is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gina Nieto Duarte's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Nieto Duarte reassigns Medicare benefits to 2 organizations: Utmb Faculty Group Practice (Galveston, TX) and Kelsey-Seybold Medical Group, PLLC (Houston, TX). Each 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 Gina Nieto Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gina Nieto Duarte accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Gina Nieto Duarte 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 Gina Nieto Duarte was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Gina Paola Nieto Duarte, M.D. · NPI 1124428784
Pediatric Nephrology physician in Galveston, Texas. Individual provider, active in the CMS NPPES registry since September 1, 2014.
## Identity
- **NPI:** 1124428784 (Entity type: Individual)
- **Enumerated:** September 1, 2014
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **State license:** S7299 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 HARBORSIDE DR, STE 103, Galveston, TX 77555-0001
- **Phone:** (409) 266-9242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Utmb Faculty Group Practice (NPI 1942241146, Galveston, TX); Kelsey-Seybold Medical Group, PLLC (NPI 1013915255, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1124428784) · Data from the CMS NPPES public registry.